Central Illinois Preventive Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL ILLINOIS PREVENTIVE SERVICES LLC

Practice address

5359 Eastern Ave
Davenport, IA 52807-2738

Phone

(563) 306-2660

NPI assigned

Jan 24, 2025

Organization subpart

No

Name

Jessica Stewart

Title

Office Manager

Phone

(309) 267-2719

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Belser, NP-C

  • Family Nurse Practitioner
  • Peoria, IL
  • NPI 1770072944
  NPD (past)
• Brynn N Cinnamon, APN/CNP

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1154555852
  NPD (past)
• Kaitlyn Heffren, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IL
  • NPI 1982480638
  NPD (past)
• Mariah Holloway, FNP

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1154082907
  NPD (past)
• Nicole Kerner, APRN

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1558969964

  Family Medicine

  NPD (past)
• Jennifer Shaw, ARNP

  • Nurse Practitioner
  • Moline, IL
  • NPI 1164249132
  NPD (past)
• Michelle Lynn Stickelmaier, APN

  • Clinical Nurse Specialist
  • Peoria, IL
  • NPI 1588251318
  NPD (past)
• Breeanon Theresa Stiers, FNP-C

  • Family Nurse Practitioner
  • Mackinaw, IL
  • NPI 1467244863
  NPD (past)
• Jeni Lynn Zolfaghari, APN, CNP

  • Nurse Practitioner
  • Bloomington, IL
  • NPI 1932665791
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Central Illinois Preventive Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Illinois Preventive Services LLC

  • Family Medicine Physician
  • Bloomington, IL
  • NPI 1144003633
  NPD tax ID
• Central Illinois Preventive Services LLC

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1306349576
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2025.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1326850587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W CORNERSTONE CT STE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072738",
            "telephone_number": "563-306-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS PREVENTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-267-2719"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie P Cecil, D.O.
• Darrien J Cellucci, DC
• Center for Active Seniors, Inc.
• Center for Alchol & Drug Services, Inc.
• Center for Behavioral Health Iowa LLC
• Nicole Cesar, LMSW
• Annemarie Irene Chambliss, MS. ED., NCC
• Chamein Clark-Witter DC PC
• Champions Developmental Care
• Anju Chana, M.D.

• All providers in Davenport, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.