Organization
TRAVEL CENTER CLINICS
Active
Other names
PROFESSIONAL DRIVERS MEDICAL DEPOTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN A ADAMS (BILLING MANAGER)
(615) 661-8929
Entity
Organization
Contact information
Practice address
3130 MAY RD, PERU, IL 61354-9618
(815) 224-7971
(615) 661-8977
Mailing address
PO BOX 51525, KNOXVILLE, TN 37950-1525
(615) 661-8929
(615) 661-8977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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