Pediatric Group, LLC
Pediatric Group, LLC is a Pediatrics Physician in Centralia, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
130 S Lincoln BlvdCentralia, IL 62801-3654
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
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1487290615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pediatric Group, LLC |
| Authorized official | Rhonda Fisher — Office Manager · (618) 993-0404 |
| NPI enumerated | November 22, 2019 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 3412 Office Park Dr, Marion, IL 62959-6477 |
Other providers in Centralia
-
Dr. Matthew Tolman Stedelin, MD
130 S Lincoln Blvd, Centralia, IL 62801-3654 · (618) 532-3604