ProviderBusinessMailingAddressFaxNumber = '2173666100'

NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1073951729	FOOTE	CAITLYN	ANNICE		101 W UNIVERSITY AVE	CHAMPAIGN	IL	618203981
1154639508	LANE	KATHRYN	LEE SEROWKA		101 W UNIVERSITY AVE	CHAMPAIGN	IL	618203981

Home