Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEDIATRIC GROUP, LLC
Active
Organization
PEDIATRIC GROUP, LLC
Active
Parent organization
PEDIATRIC GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC GROUP, LLC
Authorized official
RHONDA LYNN FISHER (OFFICE MANAGER)
(618) 993-0404
Entity
Organization
Contact information
Practice address
130 S LINCOLN BLVD, CENTRALIA, IL 62801-3654
(618) 993-0404
(618) 993-1717
Mailing address
3412 OFFICE PARK DR, MARION, IL 62959-6477
(618) 993-0404
(618) 993-1717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
10/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up