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

Moonlight Pediatrics LLC

Organization Pediatrics Physician · NPI 1780295683

Moonlight Pediatrics LLC is a Pediatrics Physician in Swansea, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1 Bronze Pointe Blvd Ste 1A
Swansea, IL 62226-1045
Phone: (216) 778-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1780295683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Qamar Zaman — Director · (216) 778-0808
Other names Moonlit Pediatrics
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address866 Revere Dr, Saint Louis, MO 63141-8818

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