Pediatric Group, Llc

LBN: Pediatric Group, Llc
Pediatric Group, Llc is an health care organization with primary practice located at 130 S Lincoln Blvd , Centralia IL 62801-3654. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as 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
130 S Lincoln Blvd Centralia IL 62801-3654
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 / Pediatrics 208000000X

Profile Details

NPI number 1487290615
LBN Legal business name Pediatric Group, Llc
DBA Doing business as
Authorized official Fisher, Rhonda Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2019
Last updated Oct 23rd, 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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