OrganizationActive
Marion Pediatric Clinic Sc
NPI 1154642411 · Pediatrics Physician · Marion, IL
Marion Pediatric Clinic Sc is a Pediatrics Physician organization in Marion, IL (NPI 1154642411).
Provider details
- NPI number
- 1154642411
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Lopez, President(618) 993-5274
- License
- 036103701 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3331 W Deyoung St Ste 207
Marion, IL 62959-5897
Phone: (618) 993-5274
Fax: (618) 993-0639
Street-level locationGet directions
Mailing address
3331 W Deyoung St Ste 207
Marion, IL 62959-5897
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2010-06-21
Frequently asked questions
- What is Marion Pediatric Clinic Sc's NPI number?
- Marion Pediatric Clinic Sc's National Provider Identifier (NPI) is 1154642411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marion Pediatric Clinic Sc?
- Marion Pediatric Clinic Sc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Marion Pediatric Clinic Sc located?
- Marion Pediatric Clinic Sc's practice location on file with NPPES is 3331 W Deyoung St Ste 207, Marion, IL 62959-5897.
- What is Marion Pediatric Clinic Sc's phone number?
- The practice phone number listed in the NPPES registry for Marion Pediatric Clinic Sc is (618) 993-5274.
- Who is the authorized official for Marion Pediatric Clinic Sc?
- The authorized official listed on Marion Pediatric Clinic Sc's NPPES record is Luis Lopez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marion Pediatric Clinic Sc's NPI active?
- Yes — Marion Pediatric Clinic Sc's NPI (1154642411) is active in the NPPES registry as of the last update on 2010-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.