Central Illinois Preventive Services LLC
NPI 1144003633 · Family Medicine Physician · Bloomington, IL
Central Illinois Preventive Services LLC is a Family Medicine Physician organization in Bloomington, IL (NPI 1144003633).
Provider details
- NPI number
- 1144003633
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Central Illinois Preventive Services LLC
- Organization subpart
- Yes
- Authorized official
- Larry Overcash, Owner(309) 696-9010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Frequently asked questions
- What is Central Illinois Preventive Services LLC's NPI number?
- Central Illinois Preventive Services LLC's National Provider Identifier (NPI) is 1144003633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Preventive Services LLC?
- Central Illinois Preventive Services LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Central Illinois Preventive Services LLC located?
- Central Illinois Preventive Services LLC's practice location on file with NPPES is 1603 Tullamore Ave Ste a, Bloomington, IL 61704-9623.
- What is Central Illinois Preventive Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Preventive Services LLC is (309) 808-6407.
- Who is the authorized official for Central Illinois Preventive Services LLC?
- The authorized official listed on Central Illinois Preventive Services LLC's NPPES record is Larry Overcash, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Preventive Services LLC's NPI active?
- Yes — Central Illinois Preventive Services LLC's NPI (1144003633) is active in the NPPES registry as of the last update on 2023-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.