NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1235165929 | KIRSH | EDWARD |   |   | 966 W 21ST ST | CHICAGO | IL | 606084511 |
1760895395 | LOPEZ | LUIS | ALFREDO |   | 966 W 21ST ST | CHICAGO | IL | 606084511 |
1154717916 | WEN | FENG |   |   | 966 W 21ST ST | CHICAGO | IL | 606084511 |