Pediatric Group LLC
Pediatric Group LLC provides Rural Health Clinic/Center services in Carbondale, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1175 Cedar CtCarbondale, IL 62901-5333
Phone: (618) 993-0404
Fax: (618) 993-1717
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1376448456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhonda Fisher — Ceo · (618) 993-0404 |
| NPI enumerated | October 9, 2026 |
| Last updated in NPPES | October 9, 2026 |
| Certification date | October 7, 2026 |
| Mailing address | 3412 Office Park Dr, Marion, IL 62959-6477 |
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