Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bard and Didriksen Pediatrics, PC

Organization Pediatrics Physician · NPI 1669553186

Bard and Didriksen Pediatrics, PC is a Pediatrics Physician in Glen Carbon, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2160 So Il Rt 157 Ste B
Glen Carbon, IL 62034
Phone: (618) 692-1212
Fax: (618) 692-4875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1669553186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Sudholt — Office Manager · (618) 692-1212
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2160 So. Il. Rt. 157, Suite B, Glen Carbon, IL 62034

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