CARBONDALE FAMILY MEDICINE,LLC
NPI 1518023530
Family Medicine in Carbondale, IL

Active since December 28, 2006
1175 CEDAR CT, CARBONDALE, IL 62901(618) 549-0300 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carbondale Family Medicine,llc NPPES

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

CARBONDALE FAMILY MEDICINE,LLC (NPI 1518023530) is a healthcare organization registered as a family medicine in Carbondale, Illinois and active in the NPI registry since December 2006. The organization lists Mukesh Chaudhry, Md, as its authorized official.

NPPES Registry Identity

NPI1518023530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARBONDALE FAMILY MEDICINE,LLC
Location Address1175 CEDAR CTCarbondale, IL 62901-5333
Mailing Address190 High Forest DrCarbondale, IL 62903-8245 · (618) 549-0300
Organization SubpartNo
Authorized OfficialMukesh ChaudhryMd · (618) 549-0300
Enumeration DateDecember 28, 2006
Last NPPES UpdateJanuary 11, 2011
NPI 1518023530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-107111
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1175 CEDAR CT, Carbondale, IL 62901

Other Identifiers 2

Medicare UPINH70512IL
Medicaid036-107111IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Rural Health)
1175 CEDAR CT
CARBONDALE, IL 62901
Nurse Practitioner (Psychiatric/Mental Health)
1175 CEDAR CT
CARBONDALE, IL 62901
Dermatology (Procedural Dermatology)
1175 CEDAR CT, CARBONDALE
CARBONDALE, IL 62901
Pediatrics
1175 CEDAR CT
CARBONDALE, IL 62901
Family Medicine
1175 CEDAR CT
CARBONDALE, IL 62901
Dermatology
1175 CEDAR CT
CARBONDALE, IL 62901

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 Carbondale Family Medicine,llc's NPI number?

The NPI number for Carbondale Family Medicine,llc is 1518023530. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Carbondale Family Medicine,llc located?

Carbondale Family Medicine,llc is located at 1175 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 549-0300.

What is Carbondale Family Medicine,llc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carbondale Family Medicine,llc was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.