Peter a Trace, MD
Peter a Trace, MD provides Obstetrics & Gynecology Physician services in Jacksonville, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1600 W Walnut StJacksonville, IL 62650-1136 Not confirmed with CMS for 17 years — call before visiting
Phone: (217) 243-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X |
|---|
Record details
| NPI number | 1538364393 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Trace — Owner · (217) 243-8455 |
| NPI enumerated | June 20, 2007 |
| Last updated in NPPES | June 1, 2009 |
| Mailing address | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
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