Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Illinois Preventive Services LLC

Organization Family Medicine Physician · NPI 1144003633

Central Illinois Preventive Services LLC is a Family Medicine Physician in Bloomington, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1603 Tullamore Ave Ste A
Bloomington, IL 61704-9623
Phone: (309) 808-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1144003633
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentral Illinois Preventive Services LLC
Authorized official Larry Overcash — Owner · (309) 696-9010
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address1603 Tullamore Ave Ste A, Bloomington, IL 61704-9623

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