CENTRAL ILLINOIS PREVENTIVE SERVICES LLC – Family Medicine Physician, NPI 1306349576

CENTRAL ILLINOIS PREVENTIVE SERVICES LLC is a healthcare provider. based in East peoria, Illinois. specializing in Family Medicine Physician. The NPI Number for CENTRAL ILLINOIS PREVENTIVE SERVICES LLC is 1306349576

Main info

Organization
Name
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
NPI
1306349576
Phone
(309) 696-9010
Address
400 CIMMERON DR
Authorized Official
LARRY F OVERCASH OWNER MD
Enumeration Date
14 March 2018
Last Update Date
24 January 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for CENTRAL ILLINOIS PREVENTIVE SERVICES LLC

  • Cimmeron Drive, East Peoria, Tazewell County, Illinois, 61611, United States

    EAST PEORIA, IL 616117505

    Phone: (309) 696-9010

    Type: Mailing

  • West Cornerstone Court, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616142400

    Phone: (309) 966-3137

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61611)

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Reviews

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Frequently asked questions

Can I use this page to confirm CENTRAL ILLINOIS PREVENTIVE SERVICES LLC's NPI?
Yes. CENTRAL ILLINOIS PREVENTIVE SERVICES LLC is listed with NPI 1306349576 in the public NPI dataset.
Is CENTRAL ILLINOIS PREVENTIVE SERVICES LLC listed as active for patients and plans?
The listing shows CENTRAL ILLINOIS PREVENTIVE SERVICES LLC as active in the NPI system.
What healthcare role does CENTRAL ILLINOIS PREVENTIVE SERVICES LLC hold?
Scheduling teams often label CENTRAL ILLINOIS PREVENTIVE SERVICES LLC under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CENTRAL ILLINOIS PREVENTIVE SERVICES LLC list a practice location?
Patients near East Peoria, Illinois may find CENTRAL ILLINOIS PREVENTIVE SERVICES LLC in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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