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

Carbondale Family Medicine, LLC

Organization Family Medicine Physician · NPI 1518023530

Carbondale Family Medicine, LLC is a Family Medicine Physician in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1175 Cedar Ct
Carbondale, IL 62901-5333
Phone: (618) 549-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-107111 (IL)

Record details

NPI number1518023530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mukesh Chaudhry — Md · (618) 549-0300
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 11, 2011
Mailing address190 High Forest Dr, Carbondale, IL 62903-8245

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