Individual
DR. DEBORAH E TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 N OAK ST, O FALLON, IL 62269-1165
(618) 624-3368
(618) 624-3387
Mailing address
103 N OAK ST, O FALLON, IL 62269-1165
(618) 624-3368
(618) 624-3387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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