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Genesis Pediatric Medicine, LLC

Pediatrics Physician in Sycamore, IL · enumerated 2011 · authorized official Mark Regnier, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912295494

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Pediatric Medicine, LLC
Practice address 1830 Mediterranean Dr, Sycamore, IL, 60178
Phone (815) 899-0001
Fax (815) 899-0002
Enumeration date Jul 18, 2011
Last updated in NPPES Jul 18, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 036097453 (IL) Primary

Authorized official

Name Mark Regnier
Title President
Phone (815) 899-0001

Other identifiers

Identifier Type State Issuer
036097453 Medicaid IL -

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.

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Frequently asked questions

Where is Genesis Pediatric Medicine, LLC located?
The practice location on file with NPPES is in Sycamore, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-07-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-18.