NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245302611 | HENRY | SARAH | A |   | 611 W PARK ST | URBANA | IL | 618012529 |
1861742264 | KANE | KELLY | ANN |   | 611 W PARK ST | URBANA | IL | 618012500 |
1790768141 | LLANO | DANIEL | ADOLFO |   | 611 W. PARK ST. | URBANA | IL | 618012500 |
1548788854 | MARR | EMMA |   |   | 611 W PARK ST | URBANA | IL | 618012529 |
1528089067 | MCNUSSEN | PATRICIA | J |   | 611 W PARK ST | URBANA | IL | 618012529 |