NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1639250848 | CULTON | LINDA | S |   | 1801 FOX DR | CHAMPAIGN | IL | 618207236 |
1265760656 | KYSE | CHARLENE |   |   | 202 W PARK AVE | CHAMPAIGN | IL | 618203929 |
1508500463 | LENOIR-PRICE | HATTIE |   |   | 801 N WALNUT ST | CHAMPAIGN | IL | 618203055 |
1881871598 | PRUITT | KERRIE | L |   | 202 W PARK AVE | CHAMPAIGN | IL | 618203929 |
1407953821 | SMITH | BRENDA | KAY |   | 1820 SADLER DR | CHAMPAIGN | IL | 618215738 |