ANTOINE G. DACCACHE

PEORIA, IL
NPI1336255611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-114751)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- ANTOINE G. DACCACHE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7951
Mailing Address
-- ANTOINE G. DACCACHE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7951