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

Pediatrix Medical Group of Illinois PC

Organization Pediatrics Physician · NPI 1902903610

Pediatrix Medical Group of Illinois PC is a Pediatrics Physician in Rockford, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (815) 489-4177
Fax: (815) 490-5906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Pediatrics Physician Taxonomy 208000000X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X

Record details

NPI number1902903610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arnold Poole — Signing Authority · (954) 384-0175
NPI enumeratedSeptember 17, 2006
Last updated in NPPESFebruary 1, 2018
Mailing address1500 Concord Ter, Sunrise, FL 33323-2815

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