Organization
TRAVELWELL LLC
Active
Other names
PASSPORT HEALTH OF MOLINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY I MCLOONE MD (MEDICAL DIRECTOR)
(309) 757-1252
Entity
Organization
Contact information
Practice address
515 VALLEY VIEW DR, SUITE 103, MOLINE, IL 61265-6175
(309) 757-1252
(309) 757-7398
Mailing address
515 VALLEY VIEW DR, SUITE 103, MOLINE, IL 61265-6175
(309) 757-1252
(309) 757-7398
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
36096406
IL
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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