Pediatric Group LLC

NPI #1114129970 in Marion, Illinois

Provider Information

NPI Number
1114129970
Entity Type
Organization
Organization Name
Pediatric Group LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jun 4, 2007
Last Updated
Sep 29, 2023

Practice Location

Address
3412 OFFICE PARK DRIVE
City
Marion
ZIP Code
62959-1998
Phone
(618) 993-0404

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine
Clinic/Center - Rural HealthRural Health

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