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Search › Illinois › 363L00000X

Stefanie Poettker

NPI 1376417253 · on the registry since 2025

Practice

Address
130 S Lincoln Blvd
Centralia, IL 62801
Phone
(618) 993-0404
Organisation at this address
Pediatric Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 310 W Saint Louis St, West Frankfort, IL

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois