Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carbondale Family Medicine, LLC

Organization Family Medicine Physician · NPI 1518023530

Carbondale Family Medicine, LLC provides Family Medicine Physician services in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1175 Cedar Ct
Carbondale, IL 62901-5333 Not confirmed with CMS for 15 years — call before visiting
Phone: (618) 549-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-107111 (IL)

Record details

NPI number1518023530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mukesh Chaudhry — Md · (618) 549-0300
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 11, 2011
Mailing address190 High Forest Dr, Carbondale, IL 62903-8245

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