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

PEDIATRIC GROUP LLC
NPI 1790689123
Clinic/Center - Rural Health in Centralia, IL

Q: What is Pediatric Group LLC's NPI number?

The NPI number for Pediatric Group LLC is 1790689123. It was assigned to this organization in the NPPES registry on October 7, 2026.

Q: 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.

Active since October 07, 2026

130 S LINCOLN BLVD, CENTRALIA, IL 62801(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Pediatric Group Llc NPPES

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

PEDIATRIC GROUP LLC (NPI 1790689123) is a healthcare organization registered as a rural health in Centralia, Illinois and active in the NPI registry since October 2026. The organization lists Rhonda Lynn Fisher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790689123

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePEDIATRIC GROUP LLC

Location Address130 S LINCOLN BLVDCentralia, IL 62801-3654

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 7, 2026

NPPES CertifiedOctober 7, 2026

✔ NPI 1790689123 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

130 S LINCOLN BLVD, Centralia, IL 62801

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Other Providers at the Same Location NPPES 3

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

DR. MATTHEW TOLMAN STEDELIN M.D.

Pediatrics

130 S LINCOLN BLVD
CENTRALIA, IL 62801

Marion County (618) 532-3604

STEFANIE POETTKER

Nurse Practitioner

130 S LINCOLN BLVD
CENTRALIA, IL 62801

Marion County (618) 993-0404

PEDIATRIC GROUP, LLC

Pediatrics

130 S LINCOLN BLVD
CENTRALIA, IL 62801

Marion County (618) 993-0404

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 1790689123. It was assigned to this organization in the NPPES registry on October 7, 2026.

Where is Pediatric Group LLC located?

Pediatric Group LLC is located at 130 S Lincoln Blvd, Centralia, IL 62801. 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 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.