Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Pediatric Medicine, LLC

Organization Pediatrics Physician · NPI 1912295494

Genesis Pediatric Medicine, LLC provides Pediatrics Physician services in Sycamore, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

1830 Mediterranean Dr
Sycamore, IL 60178-3144 Not confirmed with CMS for 15 years — call before visiting
Phone: (815) 899-0001
Fax: (815) 899-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036097453 (IL)

Record details

NPI number1912295494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Regnier — President · (815) 899-0001
NPI enumeratedJuly 18, 2011
Last updated in NPPESJuly 18, 2011
Mailing address1830 Mediterranean Dr, Sycamore, IL 60178-3144

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