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

Edgemont Pediatrics, PC

Organization Pediatrics Physician · NPI 1689825838

Edgemont Pediatrics, PC is a Pediatrics Physician in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

8710 State St
East Saint Louis, IL 62203-2048
Phone: (618) 398-6601
Fax: (618) 398-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036085372 (IL)

Record details

NPI number1689825838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Ogbevoen — Ceo · (618) 398-6601
NPI enumeratedOctober 7, 2008
Last updated in NPPESOctober 7, 2008
Mailing address8710 State St, East Saint Louis, IL 62203-2048

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