ProviderBusinessMailingAddressFaxNumber = '2172239552'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669782017 | AMANTE | GRELINDA | MARIA | | 1005 BROADWAY | QUINCY | IL | 623057005 |
| 1669482873 | KUHLMAN | JOSEPH | ARTHUR | | 1005 BROADWAY ST | QUINCY | IL | 62301 |
| 1487791091 | LEONARDI | JOSEPH | EUGENE | | 1005 BROADWAY | QUINCY | IL | 62301 |
| 1144355215 | MCDONALD | TAMARA | | | 1005 BROADWAY | QUINCY | IL | 62301 |
| 1194851717 | MILLER | CLAIR | FRANCIS | | 1005 BROADWAY | QUNICY | IL | 62301 |
| 1700912995 | SAKA | DEMIR | | | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
| 1164554762 | THOMPSON | DAVID | ALVA | | 1005 BROADWAY | QUINCY | IL | 62301 |
| 1205978178 | WILSON | KAREN | | | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
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