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

Marion Pediatric Clinic SC

Organization Pediatrics Physician · NPI 1154642411

Marion Pediatric Clinic SC is a Pediatrics Physician in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

3331 W Deyoung St Ste 207
Marion, IL 62959-5897
Phone: (618) 993-5274
Fax: (618) 993-0639
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036103701 (IL)

Record details

NPI number1154642411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Lopez — President · (618) 993-5274
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 21, 2010
Mailing address3331 W Deyoung St Ste 207, Marion, IL 62959-5897

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