Individual provider · Type 1 NPI

Jeffrey David Trachtenberg, MD

Vascular Surgery Physician · Decatur, IL

NPI number 1821070517 Active

Practice location

1800 E Lake Shore Dr
Decatur, IL 62521-3810

Fax (217) 464-1717

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X036103845 (IL)

Vascular Surgery Physician: 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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About NPI 1821070517

Jeffrey David Trachtenberg, MD's National Provider Identifier is 1821070517, issued on Nov 17, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Decatur, IL. The record was last updated on Dec 21, 2021.