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CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
NPI 1306349576
Family Medicine in Peoria, IL

Active since March 14, 2018CLIA 14D2028561 · Waiver
2426 W CORNERSTONE CT STE 100, PEORIA, IL 61614(309) 966-3137 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Illinois Preventive Services Llc NPPES

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

CENTRAL ILLINOIS PREVENTIVE SERVICES LLC (NPI 1306349576) is a healthcare organization registered as a family medicine in Peoria, Illinois and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Larry F Overcash, Owner, as its authorized official.

NPPES Registry Identity

NPI1306349576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL ILLINOIS PREVENTIVE SERVICES LLC
Location Address2426 W CORNERSTONE CT STE 100Peoria, IL 61614-2400
Mailing Address400 Cimmeron DrEast Peoria, IL 61611-7505 · (309) 696-9010
Phone(309) 966-3137
Organization SubpartNo
Authorized OfficialLarry F OvercashOwner · (309) 696-9010
Enumeration DateMarch 14, 2018
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1306349576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2426 W CORNERSTONE CT STE 100, Peoria, IL 61614
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2028561

Central Illinois Preventive Services L L C · Peoria, IL
Active · expires Aug 18, 2027
CLIA Number14D2028561
Laboratory TypePractitioner Other
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorLarry F. Overcash
Laboratory Phone(309) 691-7900
Laboratory LocationCentral Illinois Preventive Services L L C2426 W Cornerstone Ct, Ste 100, Peoria, IL 61614
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KELLY L PERISIN FNP-C
Nurse Practitioner
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
MARIAH HOLLOWAY FNP
Nurse Practitioner
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
MRS. MORGAN ANNE-MARIE MILLER FNP-C
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
JULIE BELSER NP-C
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
PEORIA WEIGHTLOSS, LLC
Clinic/Center (Medical Specialty)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
KRISTEN THOMPSON
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137

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 Central Illinois Preventive Services LLC's NPI number?

The NPI number for Central Illinois Preventive Services LLC is 1306349576. It was assigned to this organization in the NPPES registry on March 14, 2018.

Where is Central Illinois Preventive Services LLC located?

Central Illinois Preventive Services LLC is located at 2426 W Cornerstone Ct Ste 100, Peoria, IL 61614. The listed phone number is (309) 966-3137.

What is Central Illinois Preventive Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Central Illinois Preventive Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2028561) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Illinois Preventive Services LLC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.