NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1043203250 | KLIEFOTH | JAMES | A |   | 1 PROFESSIONAL DR | ALTON | IL | 620025068 |
1740274992 | MILLER | MAUDIE | M |   | 1 PROFESSIONAL DR | ALTON | IL | 620025068 |
1952394892 | YANTA | MYLES |   |   | 1 PROFESSIONAL DR | ALTON | IL | 620025068 |