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1306349576
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
PEORIA, IL
NPI
1306349576
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Entity Type
Organization
Authorized Contact
LARRY F OVERCASH
Owner
309-696-9010
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614-2400
Phone number: 309-966-3137
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Mailing Address
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
400 CIMMERON DR
EAST PEORIA, IL 61611-7505
Phone number: 309-696-9010
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