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

Primary Care Specialists, LLC

Organization Internal Medicine Physician · NPI 1154556843

Primary Care Specialists, LLC is an Internal Medicine Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2
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

2 Airline Dr Ste 500
Bloomington, IL 61704-3433
Phone: (636) 579-6778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 036121501 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036121501 (IL)

Record details

NPI number1154556843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srivalli Vegi — Owner · (636) 579-6778
NPI enumeratedMay 25, 2009
Last updated in NPPESApril 15, 2010
Mailing address2 Airline Dr, Suite 500, Bloomington, IL 61704-3433

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