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Peter A Trace, M.D.

Obstetrics & Gynecology Physician in Jacksonville, IL · enumerated 2007 · authorized official Peter Trace, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538364393

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Registry record

Entity type Organization (Type 2)
Legal business name Peter A Trace, M.D.
Practice address 1600 W Walnut St, Jacksonville, IL, 62650
Phone (217) 243-8455
Enumeration date Jun 20, 2007
Last updated in NPPES Jun 1, 2009

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Peter Trace
Title Owner
Phone (217) 243-8455

Other identifiers

Identifier Type State Issuer
036048526 Medicaid IL -
06900105 Other IL PHAI
06900105 Other IL BLUE CROSS BLUE SHIELD
13127 Other KY GROUP HEALTH PLAN
010986 Other IL HEALTH ALLIANCE
127838 Other MO HEALTHLINK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Peter A Trace, M.D.?
NPPES lists Peter Trace (Owner) as the authorized official for this organization.
What is the NPI number for Peter A Trace, M.D.?
The NPI for Peter A Trace, M.D. is 1538364393, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-01.