| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174756639 | CARRIER | ERIC | MATTHEW | 3131 N WATER ST | DECATUR | IL | 625262472 | |
| 1134667793 | COLLINS | KEVIN | 3131 N WATER ST | DECATUR | IL | 625262472 | ||
| 1003299082 | KENNEY | MARY KATHERINE | 3131 N WATER ST | DECATUR | IL | 625262472 |