NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1235551300 | LOEWENSTEIN | KELLY |   |   | 611 W PARK ST | URBANA | IL | 618012500 |
1578837670 | LONG | JACQUELINE | A. |   | 611 W. PARK ST. | URBANA | IL | 618012500 |
1740737337 | PEARMAN | PRESLEY |   |   | 611 W. PARK ST. | URBANA | IL | 618012500 |
1508992561 | ROMIG | JEFFREY |   |   | 602 W UNIVERSITY AVE | URBANA | IL | 618012530 |
1487995437 | VERGHESE | ANTONY | KURIAN |   | 611 W PARK ST | URBANA | IL | 618012529 |