Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS EDWARD TWEEDY
Active Sole ProprietorTRAVIS EDWARD TWEEDY is a Contractor healthcare provider located in CARLYLE, Illinois. NPI 1245102409 is currently active in the NPPES registry. Verify at CMS.
Contractor · CARLYLE, IL
Registration Details
- NPI Number
- 1245102409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2025 (0.93836071632214 yrs)
- Last Updated
- Sep 18, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
10700 OLD STATE RDCARLYLE, IL, 622316502Browse IL providers · Browse ZIP 62231
- Phone
- 6187950351
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.