NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124479167 | AVULA | UMAKANTH |   |   | 611 W PARK ST | URBANA | IL | 618012529 |
1649217613 | DODSON | ROBERT | W. |   | 611 W PARK ST | URBANA | IL | 618012500 |
1912225871 | MCCARTNEY | ASHLEY | R |   | 1400 W PARK ST | URBANA | IL | 618012334 |
1679924617 | RODRIGUEZ | JUAN | FRANCISCO |   | 611 W PARK ST | URBANA | IL | 618012529 |
1285739177 | WOLF | RICHARD | M |   | 611 W. PARK ST. | URBANA | IL | 618012500 |