NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538689062 |   |   |   | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP | 1239 E MAIN ST | CARBONDALE | IL | 629013175 |
1164786604 | DOBBS | KARLA | DORA |   | PO BOX 3988 | CARBONDALE | IL | 629023988 |
1851377717 | MOORE-CONNELLEY | MARCI | I |   | 405 W JACKSON ST | CARBONDALE | IL | 629011462 |
1336155878 | PAPPOE | TIMOTHY | ALLOTEY |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1649479866 | ZIA | SUBAILA |   |   | PO BOX 3988 | CARBONDALE | IL | 629023988 |