| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1134470859 | KING CITY PHYSICIAN COMPANY, LLC | 4117 S WATER TOWER PL | MOUNT VERNON | IL | 628646567 | |||
| 1285650838 | JACQUES PAPAZIAN M.D,S.C. | 4117 S WATER TOWER PL | MOUNT VERNON | IL | 628646567 | |||
| 1821158833 | DAVID J. LANE, LTD. | 4117 S WATER TOWER PL | MOUNT VERNON | IL | 628646293 | |||
| 1164472155 | LANE | DAVID | J | 4117 S WATER TOWER PL | MOUNT VERNON | IL | 628646293 | |
| 1366491193 | PAPAZIAN | JACQUES | PO BOX 1389 | MOUNT VERNON | IL | 628640028 |