Pediatric Group Llc in Marion - Adolescent Medicine
Pediatric Group Llc - NPI 1114129970
Pediatric Group Llc is a Adolescent Medicine in Marion, Illinois. Pediatric Group Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Group Llc is 1114129970. The last update date is 2023-09-29.
Pediatric Group Llc's current location address is 3412 Office Park Drive, Marion, Illinois. You can contact this provider via phone number 6189930404 and fax number 6189931717. The mailing address for Pediatric Group Llc is 3412 Office Park Drive, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Group Llc |
|---|---|
| Address | 3412 Office Park Drive, Marion, Illinois |
| Phone Number | 6189930404 |
| Fax Number | 6189931717 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Fisher Lynn Rhonda |
| Telephone Number | 6189930404 |
NPI Number Detail
| NPI Number | 1114129970 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | 3412 Office Park Drive |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591998 |
| Phone Number | 6189930404 |
| Fax Number | 6189931717 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Group Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Group Llc has been issued the NPI (National Provider Identifier) 1114129970 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Group Llc?
The Pediatric Group Llc is physically situated at 3412 Office Park Drive, in the city of Marion, state of IL, with the postal code 629591998.
What is Pediatric Group Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Group Llc's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date was the 1114129970 assigned to Pediatric Group Llc?
The Pediatric Group Llc was issued its 1114129970 on 2007-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pediatric Group Llc last refreshed?
The information related to the Pediatric Group Llc, including its address, specialty, and other relevant details, was last updated on 2023-09-29.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL