Individual
DR. LARRY F OVERCASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7309 N KNOXVILLE AVE, SUITE 300, PEORIA, IL 61614-2085
(309) 671-5100
(309) 671-5155
Mailing address
7309 N KNOXVILLE AVE, SUITE 300, PEORIA, IL 61614-2085
(309) 671-5100
(309) 671-5155
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036072608
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360726082
—
IL
Enumeration date
04/26/2006
Last updated
06/24/2010
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