CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
NPI 1326850587
Family Medicine in Davenport, IA

Active since January 24, 2025CLIA 16D2325651 · Waiver
5359 EASTERN AVE, DAVENPORT, IA 52807(563) 306-2660 Get Directions Write a Review

NPPES record last updated: March 29, 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 1326850587) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Jessica Stewart, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326850587
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL ILLINOIS PREVENTIVE SERVICES LLC
Location Address5359 EASTERN AVEDavenport, IA 52807-2738
Mailing Address2426 W Cornerstone Ct Ste 100Peoria, IL 61614-2400
Organization SubpartNo
Authorized OfficialJessica StewartOffice Manager · (309) 267-2719
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
NPI 1326850587 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.
5359 EASTERN AVE, Davenport, IA 52807

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

Accepted Insurance

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 16D2325651

Central Illinois Preventive Services · Davenport, IA
Active · expires Jun 16, 2027
CLIA Number16D2325651
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorAndrew Caravello
Laboratory Phone(563) 306-2660
Laboratory LocationCentral Illinois Preventive Services5359 Eastern Ave, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
5359 EASTERN AVE
DAVENPORT, IA 52807
Family Medicine
5359 EASTERN AVE
DAVENPORT, IA 52807
Dentist
5359 EASTERN AVE
DAVENPORT, IA 52807
Audiologist
5359 EASTERN AVE
DAVENPORT, IA 52807

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 1326850587. It was assigned to this organization in the NPPES registry on January 24, 2025.

Where is Central Illinois Preventive Services LLC located?

Central Illinois Preventive Services LLC is located at 5359 Eastern Ave, Davenport, IA 52807. The listed phone number is (563) 306-2660.

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 16D2325651) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Illinois Preventive Services LLC accept?

Health plans from Medica list Central Illinois Preventive Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Illinois Preventive Services LLC was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.