NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760438204 |   |   |   | CARLE FOUNDATION PHYSICIAN SERVICES LLC | 611 W PARK ST | URBANA | IL | 618012500 |
1366408684 | KISKADDON | ROBERT | T |   | 611 W PARK ST | URBANA | IL | 618012500 |
1326198508 | LAVIZZO | MARK |   |   | 611 W PARK ST | URBANA | IL | 618012500 |
1295791127 | NICOL | RICHARD | E |   | 611 W PARK ST | URBANA | IL | 618012500 |