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

Childrens Illinois Inc

Organization Pediatric Rehabilitation Medicine Physician · NPI 1073283198

Childrens Illinois Inc is a Pediatric Rehabilitation Medicine Physician in Edwardsville, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2122 Troy Rd Ste 120
Edwardsville, IL 62025-2540
Phone: (618) 800-4620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1073283198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele McKee — Vice President · (314) 454-6044
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address1 Childrens Pl Ste 3s-36, Saint Louis, MO 63110-1002