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Jeffrey David Trachtenberg, MD
Vascular Surgery Physician in Decatur, Illinois
NPI 1821070517

Jeffrey David Trachtenberg is a Vascular Surgery Physician based in Decatur, IL and is specialized in Vascular Surgery. Jeffrey David Trachtenberg practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Jeffrey David Trachtenberg is 1821070517 and holds a License No. 036103845 (Illinois).

The current practice location address for Jeffrey David Trachtenberg is 1800 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-464-1722 and via fax at 217-464-1717.

Location: 1800 E Lake Shore Dr, Decatur, IL, 62521-3810
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Provider Profile Details
NPI Number
1821070517
Provider Name
Jeffrey David Trachtenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 E Lake Shore Dr, Decatur, IL, 62521-3810
Phone Number
217-464-1722
Fax Number
217-464-1717
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CI4811 01 MEDICARE TRAVELERS
institution
Provider Business Practice Location Address Details
Address
1800 E Lake Shore Dr
City
State
Zip
62521-3810
Phone Number
217-464-1722
Fax Number
217-464-1717
person
Provider Business Mailing Address Details
Address
1800 E Lake Shore Dr
City
State
Zip
62521-3810
Phone Number
217-464-1722
Fax Number
217-464-1717
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
036103845 (Illinois)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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