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1821070517
JEFFREY DAVID TRACHTENBERG
DECATUR, IL
NPI
1821070517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: IL 036103845)
Enumeration Date
2005-11-17
Last Update Date
2021-12-21
Business Address
JEFFREY DAVID TRACHTENBERG MD
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-1722
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Mailing Address
JEFFREY DAVID TRACHTENBERG MD
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-1722
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