| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1972539575 | DETERS | PATRICIA | A | 2265 W ALTORFER DR | PEORIA | IL | 616151807 | |
| 1003469859 | PETERSON | JAIMIE | M | 2265 W ALTORFER DR | PEORIA | IL | 616151807 | |
| 1184638009 | SAWICKI | ROBERT | 2265 W ALTORFER DR | PEORIA | IL | 616151807 |