CENTRAL ILLINOIS PREVENTIVE SERVICES LLC

BLOOMINGTON, IL
NPI1144003633
Entity TypeOrganization
Authorized ContactLARRY OVERCASH
Owner
309-696-9010
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
1603 TULLAMORE AVE STE A
BLOOMINGTON, IL 61704-9623
Phone number: 309-808-6407
Mailing Address
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
1603 TULLAMORE AVE STE A
BLOOMINGTON, IL 61704-9623
Phone number:
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