CENTRAL ILLINOIS PREVENTIVE SERVICES LLC NPI 1326850587

NPI Information

  • NPI: 1326850587
  • Provider Name: CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 16D2325651
  • Address: 5359 EASTERN AVE
    DAVENPORT, IA
    ZIP 52807
  • Phone: (563) 306-2660

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NPI Details

CENTRAL ILLINOIS PREVENTIVE SERVICES LLC is a family medicine in Davenport, IA. The provider is 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. CENTRAL ILLINOIS PREVENTIVE SERVICES LLC NPI is 1326850587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5359 EASTERN AVE
DAVENPORT, IA
ZIP 52807-738
Phone: (563) 306-2660

The provider's authorized official is Jessica Stewart .
The authorized official title is Office Manager and has the following contact phone number (309) 267-2719.

The CLIA number assigned to this NPI record is 16D2325651 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2025 and was last updated on 3/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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