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Travis Tweedy
NPI 1245102409 · on the registry since 2025 · sole proprietor
Practice
- Address
- 10700 Old State Rd
Carlyle, IL 62231 - Phone
- (618) 795-0351
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois