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

Pediatric Group LLC

Organization Pediatrics Physician · NPI 1023582038

Pediatric Group LLC is a Pediatrics Physician in Carbondale, Illinois. Registered with an NPI since 2019.

In the registry since
2019
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

1175 Cedar Ct
Carbondale, IL 62901-5333
Phone: (618) 993-0404
Fax: (618) 993-1717
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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 number1023582038
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Group, LLC
Authorized official Rhonda Fisher — Ceo · (618) 993-0404
NPI enumeratedJanuary 14, 2019
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address3412 Office Park Dr, Marion, IL 62959-6477

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