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 2426 W Cornerstone Ct Ste 100 , Peoria IL 61614-2400. 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) 966-3137, or through Overcash, Larry F via phone (309) 696-9010.

Contact Information

Primary practice address
2426 W Cornerstone Ct Ste 100 Peoria IL 61614-2400
Phone: (309) 966-3137
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Overcash, Larry F Doctor of Medicine (MD)
Phone: (309) 696-9010

Health care specialties

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

Profile Details

NPI number 1306349576
LBN Legal business name Central Illinois Preventive Services Llc
DBA Doing business as
Authorized official Overcash, Larry F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2018
Last updated Mar 14th, 2018 - about 8 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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