MEDICARE: DR. RICK DOUGLAS VACCARELLO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3945	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336125475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICK DOUGLAS VACCARELLO D.D.S.

Provider Business Mailing Address
First Line	:	71 W VAN BUREN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-1004
Country	:	US
Telephone Number	:	312-322-0567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 W NORWOOD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-2415
Country	:	US
Telephone Number	:	773-293-7986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	10/06/2011

Similar Medicare Providers

1710055520 — DR. JOHN MICHAEL PALEN M.S., PH.D.
Practice Location Address:

5445 N SHERIDAN RD APT 2415
CHICAGO, IL
60640-7471

Practice Phone: 847-219-1877
Practice Fax:

1518002658 — MICHIGAN AVENUE CENTER FOR HEALTH, LTD.
Practice Location Address:

2415 S MICHIGAN AVE
CHICAGO, IL
60616-2301

Practice Phone: 312-328-1200
Practice Fax:

1740304757 — FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
Practice Location Address:

3409 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 773-486-5001
Practice Fax:

1043436389 — MS. VALERIA L. WILLIAMS NP
Practice Location Address:

3409 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 773-486-5001
Practice Fax: 773-486-5020

1285803486 — LEGEND HOME HEALTH LLC
Practice Location Address:

3405 W FULLERTON AVE , 2ND FLOOR
CHICAGO, IL
60647-2415

Practice Phone: 773-278-0100
Practice Fax: 773-278-0111

1477886034 — FULLERTON MRI LLC
Practice Location Address:

3405 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 773-697-8125
Practice Fax: 773-697-8542

Directions to “ DR. RICK DOUGLAS VACCARELLO D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.