DAVID TRACHTENBARG

PEORIA, IL
NPI1952318719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036053836)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- DAVID TRACHTENBARG MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
Mailing Address
-- DAVID TRACHTENBARG MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809