Pediatric Group Llc

LBN: Pediatric Group Llc
Pediatric Group Llc is an health care organization with primary practice located at 3412 Office Park Drive , Marion IL 62959-1998. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pediatric Group Llc can be contacted via phone (618) 993-0404, or through Fisher, Rhonda Lynn via phone (618) 993-0404.

Contact Information

Primary practice address
3412 Office Park Drive Marion IL 62959-1998
Phone: (618) 993-0404
Fax: (618) 993-1717
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Rhonda Lynn
Phone: (618) 993-0404

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1114129970
LBN Legal business name Pediatric Group Llc
DBA Doing business as
Authorized official Fisher, Rhonda Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Sep 29th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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