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Lifelong Access
NPI 1124731484 · Developmental - Behavioral Pediatrics Physician · Normal, IL
Provider details
- NPI number
- 1124731484
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Bailey, Program Supports Specialist(309) 451-8888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1302 Franklin Ave Ste L500
Normal, IL 61761-3551
Phone: (309) 452-0069
Street-level locationGet directions
Mailing address
2000 Jacobssen Dr
Normal, IL 61761-6277
Other names (DBA / former)
- Former legal business name
- Marcfirst
Registry dates
- Enumerated
- 2023-01-03
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.