Pediatric Group LLC

NPI #1023582038 in Carbondale, Illinois

Provider Information

NPI Number: 1023582038
Entity Type: Organization
Organization Name: Pediatric Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC GROUP, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 14, 2019
Last Updated: May 15, 2025

Practice Location

Address: 1175 CEDAR CT
City: Carbondale
State: Illinois
ZIP Code: 62901-5333
Phone: (618) 993-0404

Authorized Official

Name: RHONDA LYNN FISHER
Title: OFFICE MANAGER
Phone: (618) 993-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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DR. Kurt Martin, M.D.	Pediatrics	Carbondale	AI Deep Dive
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DR. Tandy Korte, M.D.	Pediatrics	Carbondale	AI Deep Dive
DR. Amanda Jane Bleichner, M.D.	Pediatrics	Carbondale	AI Deep Dive
Tamara Buckles, MD	Pediatrics	Carbondale	AI Deep Dive

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