Pediatric Group LLC
Pediatric Group LLC is a healthcare organization registered as Rural Health Clinic/Center in Carbondale, IL, holding Type 2 (organization) NPI 1023582038 since 2019. The authorized official on file is Rhonda Fisher, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1023582038 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Group LLC |
| Parent organization | Pediatric Group, LLC |
| Practice address | 1175 CEDAR CT, Carbondale, IL, 62901 |
| Phone | 6189930404 |
| Fax | 6189931717 |
| Enumeration date | 2019-01-14 |
| Last updated in NPPES | 2026-04-29 |
Authorized official
| Name | Rhonda Fisher |
|---|---|
| Title | Ceo |
| Phone | 6189930404 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pediatric Group LLC NPI: 1023582038 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 1175 CEDAR CT, Carbondale, IL, 62901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508866559 | Mukesh Chaudhry | Individual | Family Medicine Physician | Carbondale, IL |
| 1215914775 | Bindu Reddy | Individual | Pediatrics Physician | Carbondale, IL |
| 1700843570 | Anup Chaudhry | Individual | Dermatology Physician | Carbondale, IL |
| 1518023530 | Carbondale Family Medicine,LLC | Organization | Family Medicine Physician | Carbondale, IL |
| 1104178144 | Revive Skin Institute LLC | Organization | Procedural Dermatology Physician | Carbondale, IL |
| 1093387854 | Monica Nagele | Individual | Psychiatric/Mental Health Nurse Practitioner | Carbondale, IL |
Verify this record
Cross-check NPI 1023582038 against the authoritative CMS record: view Pediatric Group LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Pediatric Group LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-29.