Organization · Type 2 NPI

Pediatric Group LLC

Rural Health Clinic/Center · Carbondale, IL

NPI number 1376448456 Active

Practice location

1175 Cedar Ct
Carbondale, IL 62901-5333

Call (618) 993-0404 Map

Fax (618) 993-1717

Mailing address

3412 Office Park Dr
Marion, IL 62959-6477

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1376448456

Pediatric Group LLC's National Provider Identifier is 1376448456, issued on Oct 9, 2026. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carbondale, IL. The record was last updated on Oct 9, 2026.