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

Heartland Pediatric Clinic

Organization Pediatrics Physician · NPI 1053413740

Heartland Pediatric Clinic is a Pediatrics Physician in Marion, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1000 W Deyoung St
Marion, IL 62959-1630
Phone: (618) 993-5274
Fax: (618) 999-0639
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1053413740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Lopez — President/Physician · (618) 993-5274
NPI enumeratedSeptember 2, 2006
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing addressPo Box 1866, Marion, IL 62959-8066

Other providers in Marion