| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578568077 | BLUMTHAL | ROBERT | JAMES | | 2020 W ILES AVE | SPRINGFIELD | IL | 627047015 |
| 1043268386 | COOK | STEPHEN | G | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1144279498 | FARRIS | STUART | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1386692630 | MACK | HARVEY | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1235440777 | MOORE | CHELSEY | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627047015 |
| 1114975414 | MORRISEY | MARY | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1316997182 | SABETTI | JOSEPH | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1861440612 | WALLER | JENNIFER | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
| 1841248838 | YEH | SANDRA | | | 2020 W ILES AVE | SPRINGFIELD | IL | 627044174 |
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