NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1518111376 |   |   |   | PRAIRIE SPINE AND PAIN INSTITUTE SC | PO BOX 5173 | PEORIA | IL | 616015173 |
1710928627 |   |   |   | JAE KIM, M.D. | 7309 N KNOXVILLE AVE | PEORIA | IL | 616142085 |
1316981491 | KIM | JAE | K |   | 7309 N KNOXVILLE AVE | PEORIA | IL | 616142085 |
1942441225 | WILSON-BROWN | LAURA | L |   | 7309 N KNOXVILLE AVE | PEORIA | IL | 616142085 |