Central Illinois Preventive Services Llc

LBN: Central Illinois Preventive Services Llc
Central Illinois Preventive Services Llc is an health care organization with primary practice located at 1603 Tullamore Ave Ste A , Bloomington IL 61704-9623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Illinois Preventive Services Llc can be contacted via phone (309) 808-6407, or through Overcash, Larry via phone (309) 696-9010.

Contact Information

Primary practice address
1603 Tullamore Ave Ste A Bloomington IL 61704-9623
Phone: (309) 808-6407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Overcash, Larry Doctor of Medicine (MD)
Phone: (309) 696-9010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1144003633
LBN Legal business name Central Illinois Preventive Services Llc
DBA Doing business as
Authorized official Overcash, Larry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 17th, 2023
Last updated Aug 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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