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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PEDIATRIC GROUP LLC
NPI 1376448456
Clinic/Center - Rural Health in Carbondale, IL

Active since October 09, 2026
1175 CEDAR CT, CARBONDALE, IL 62901(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record added: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Pediatric Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC GROUP LLC (NPI 1376448456) is a healthcare organization registered as a rural health in Carbondale, Illinois and active in the NPI registry since October 2026. The organization lists Rhonda Lynn Fisher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376448456
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC GROUP LLC
Location Address1175 CEDAR CTCarbondale, IL 62901-5333
Mailing Address3412 Office Park DrMarion, IL 62959-6477 · (618) 993-0404 · Fax (618) 993-1717
Phone(618) 993-0404
Fax(618) 993-1717
Organization SubpartNo
Authorized OfficialRhonda Lynn FisherCeo · (618) 993-0404
Enumeration DateOctober 9, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1376448456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
1175 CEDAR CT, Carbondale, IL 62901
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC GROUP LLC
Pediatrics
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 993-0404
MONICA L NAGELE NP
Nurse Practitioner (Psychiatric/Mental Health)
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 490-1045
REVIVE SKIN INSTITUTE LLC
Dermatology (Procedural Dermatology)
1175 CEDAR CT, CARBONDALE
CARBONDALE, IL 62901
Jackson County (619) 549-0300
MRS. BINDU REDDY M.D.
Pediatrics
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 993-0404
MUKESH CHAUDHRY M.D.
Family Medicine
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-0300
CARBONDALE FAMILY MEDICINE,LLC
Family Medicine
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-0300
DR. ANUP K CHAUDHRY M.D.
Dermatology
1175 CEDAR CT
CARBONDALE, IL 62901
Jackson County (618) 549-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Group LLC's NPI number?

The NPI number for Pediatric Group LLC is 1376448456. It was assigned to this organization in the NPPES registry on October 9, 2026.

Where is Pediatric Group LLC located?

Pediatric Group LLC is located at 1175 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 993-0404.

What is Pediatric Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pediatric Group LLC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.