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

Marion Pediatric Clinic SC

Organization Pediatrics Physician · NPI 1154642411

Marion Pediatric Clinic SC provides Pediatrics Physician services in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

3331 W Deyoung St Ste 207
Marion, IL 62959-5897 Not confirmed with CMS for 16 years — call before visiting
Phone: (618) 993-5274
Fax: (618) 993-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036103701 (IL)

Record details

NPI number1154642411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Lopez — President · (618) 993-5274
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 21, 2010
Mailing address3331 W Deyoung St Ste 207, Marion, IL 62959-5897

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