Pacocha, Elizabeth
Pacocha, Elizabeth is an sole proprietor health care provider with primary practice located at 800 Biesterfield Rd Ste 4001 , Elk Grove Village IL 60007-3371. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Pacocha, Elizabeth can be contacted via phone (847) 398-9999.Contact Information
Primary practice address
800 Biesterfield Rd Ste 4001
Elk Grove Village IL 60007-3371
Phone: (847) 398-9999
Fax: (866) 988-6323
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016.005329 | Illinois |
Profile Details
NPI number | 1023297132 |
---|---|
LBN Legal business name | Pacocha, Elizabeth |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2007 |
Last updated | Aug 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023297132 | NPPES |
Illinois | Other | 60001380 | BCBS |
Illinois | Other | 1194777698 | BCBS |
Illinois | MEDICAID | 016005329 | BCBS |
Illinois | Other | 726711 | BCBS |
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