ELIAS TRACE

SPRINGFIELD, IL
NPI1396237095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125072391)
Enumeration Date2018-05-30
Last Update Date2021-04-15
Business Address
ELIAS TRACE MD
701 N 1ST ST STE D220
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-3518
Mailing Address
ELIAS TRACE MD
PO BOX 19679
SPRINGFIELD, IL 62794-9679
Phone number: 217-545-3518
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