| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760846414 | HEFT | RACHEL | 390 MAPLE SUMMIT RD | JERSEYVILLE | IL | 62052 | ||
| 1003232489 | KULP | MELISSA | G | 390 MAPLE SUMMIT RD | JERSEYVILLE | IL | 620522000 | |
| 1225015456 | THOM | WILLIAM | H | 400 MAPLE SUMMIT RD | JERSEYVILLE | IL | 62052 |