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Peter A Trace, M.d.
Obstetrics & Gynecology Physician in Jacksonville, Illinois
NPI 1538364393

Peter A Trace, M.d. is a Obstetrics & Gynecology Physician based in Jacksonville, IL. Peter A Trace, M.d. practices in Jacksonville, IL. The NPI Number for Peter A Trace, M.d. is 1538364393 and holds a License No. (Illinois).

The current practice location address for Peter A Trace, M.d. is 1600 W Walnut St, Jacksonville, IL and can be reached out via phone at 217-243-8455.

Location: 1600 W Walnut St, Jacksonville, IL, 62650-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538364393
Provider Name
Peter A Trace, M.d.
Credential
Provider Entity Type
Organization
Address
1600 W Walnut St, Jacksonville, IL, 62650-1136
Phone Number
217-243-8455
Fax Number
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036048526 05 IL
06900105 01 IL PHAI
06900105 01 IL BLUE CROSS BLUE SHIELD
13127 01 KY GROUP HEALTH PLAN
010986 01 IL HEALTH ALLIANCE
127838 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-243-8455
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-243-8455
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
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Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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