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
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 036103845 (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.