Pediatric Group, LLC
Rural health clinic in Carbondale, IL, Medicare certification number 783868.
Medicare certification
Provider of Services- CCN
- 783868
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Mar 20, 2026
- Last certification
- Mar 20, 2026
- Address
- 1175 Cedar CT
Carbondale, IL 62901
(618) 993-0404
NPI records for this facility (CCN to NPI Mapping) 1
-
- Pediatrics Physician
- Carbondale, IL
- NPI 1023582038
Medicare enrollment
Other rural health clinics in Carbondale, IL
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.