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1952318719
DAVID TRACHTENBARG
PEORIA, IL
NPI
1952318719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036053836)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- DAVID TRACHTENBARG MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
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Mailing Address
-- DAVID TRACHTENBARG MD
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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