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PRIMARY CARE SPECIALISTS, LLC
NPI 1154556843
Internal Medicine - Geriatric Medicine in Bloomington, IL

Active since May 25, 2009
2 AIRLINE DR, SUITE 500, BLOOMINGTON, IL 61704(636) 579-6778 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Care Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE SPECIALISTS, LLC (NPI 1154556843) is a healthcare organization registered as a geriatric medicine in Bloomington, Illinois and active in the NPI registry since May 2009. The organization lists Srivalli Vegi, Owner, as its authorized official.

NPPES Registry Identity

NPI1154556843
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePRIMARY CARE SPECIALISTS, LLC
Location Address2 AIRLINE DR, SUITE 500Bloomington, IL 61704-3433
Mailing Address2 Airline Dr, Suite 500Bloomington, IL 61704-3433
Phone(636) 579-6778
Organization SubpartNo
Authorized OfficialSrivalli VegiOwner · (636) 579-6778
Enumeration DateMay 25, 2009
Last NPPES UpdateApril 15, 2010
✔ NPI 1154556843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in IL · 036121501
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036121501 (IL)
2 AIRLINE DR, Bloomington, IL 61704
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Other Identifiers 1

Medicare PINIL2503IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEPARD PAIN AND PERFORMANCE CARE PC
Chiropractor (Rehabilitation)
2 AIRLINE DR, SUITE 400
BLOOMINGTON, IL 61704
McLean County (815) 980-5706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care Specialists, LLC's NPI number?

The NPI number for Primary Care Specialists, LLC is 1154556843. It was assigned to this organization in the NPPES registry on May 25, 2009.

Where is Primary Care Specialists, LLC located?

Primary Care Specialists, LLC is located at 2 Airline Dr Suite 500, Bloomington, IL 61704. The listed phone number is (636) 579-6778.

What is Primary Care Specialists, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Primary Care Specialists, LLC was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.