Pediatric Group Llc
Pediatric Adolescent Medicine
Pediatric Group Llc is a Marion, Illinois based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
3412 Office Park Drive, Marion, Illinois - 62959-1998. They can be contacted on phone at
618-993-0404 and fax number 618-993-1717.
NPI number (Unique professional ID) for Pediatric Group Llc is
1114129970 which was assigned by NPPES on 04 Jun, 2007 and it was last updated on 30 Apr, 2019.
Pediatric Group Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediatric Group Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Group Llc |
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Business Address:
Pediatric Group Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3412 Office Park Drive
Marion, IL, 62959-1998
United States |
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| Phone Number : | 618-993-0404 |
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| Fax Number : | 618-993-1717 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114129970 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 04 Jun, 2007 |
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| Last Updated On : | 30 Apr, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rhondalynn Fisher |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 618-993-0404 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Group Llc are as mentioned. Primary taxonomy code for Pediatric Group Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QR1300X | Clinic/Center Rural Health | No | | |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
28 VETERANS DR,
HARRISBURG, IL, 62946-3320
United States | HARRISBURG, IL | 618-993-0404 |
310 W SAINT LOUIS ST,
WEST FRANKFORT, IL, 62896-2037
United States | WEST FRANKFORT, IL | 618-993-0404 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3412 Office Park Drive
Marion, IL, 62959-1998
United States |
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| Phone Number : | 618-993-0404 |
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| Fax Number : | 618-993-1717 |
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Business Location:
Patients can refer following map for directions to
Pediatric Group Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.