| Central Illinois Preventive Services LLC | |
|
5359 Eastern Ave Davenport IA 52807-2738 | |
| (563) 306-2660 | |
| Not Available |
| Full Name | Central Illinois Preventive Services LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5359 Eastern Ave, Davenport, Iowa |
| Authorized Official Name and Position | Jessica Stewart (OFFICE MANAGER) |
| Authorized Official Contact | 3092672719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Preventive Services LLC 2426 W Cornerstone Ct Ste 100 Peoria IL 61614-2400 | Central Illinois Preventive Services LLC 5359 Eastern Ave Davenport IA 52807-2738 Ph: (563) 306-2660 |
| NPI Number | 1326850587 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 03/29/2025 |
| Certification Date | 03/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326850587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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