Organization
DOUBLE T MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVAS JAMES TUCKER LPN,LNHA (CEO)
(815) 668-3777
Entity
Organization
Contact information
Practice address
11394 BAYBERRY DR, ROSCOE, IL 61073-9105
(815) 668-3777
Mailing address
11394 BAYBERRY DR, ROSCOE, IL 61073-9105
(815) 668-3777
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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