| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033384722 | BEEMAN | BRIAN | ROBERT | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1023369212 | BOETHIN | ABIGAIL | | | 611 W PARK ST | URBANA | IL | 61801 |
| 1497855886 | DERRICK | MARVIN | J. | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1972828291 | ELIAS | YOUSSEF | | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1437656097 | FRANCIS | KELLIE | A | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1902561624 | GEE | ROBERT | | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1558362491 | GHAZOUL | MARWAN | | | 611 W PARK ST | URBANA | IL | 618012529 |
| 1174733224 | WIARDA | KAREN | P. | | 611 W PARK ST | URBANA | IL | 618012500 |
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