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

Genesis Pediatric Medicine, LLC

Organization Pediatrics Physician · NPI 1912295494

Genesis Pediatric Medicine, LLC is a Pediatrics Physician in Sycamore, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

1830 Mediterranean Dr
Sycamore, IL 60178-3144
Phone: (815) 899-0001
Fax: (815) 899-0002
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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 036097453 (IL)

Record details

NPI number1912295494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Regnier — President · (815) 899-0001
NPI enumeratedJuly 18, 2011
Last updated in NPPESJuly 18, 2011
Mailing address1830 Mediterranean Dr, Sycamore, IL 60178-3144

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