| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1770936692 | DEVASENATHIPATHY | BAVITHIRA | ABIVARSHIA | 1188 SOUTH STATE ROUTE 157 | EDWARDSVILLE | IL | 62025 | |
| 1508343161 | LEITSCHUH | ANGELINA | M | 1188 SOUTH STATE ROUTE 157 | EDWARDSVILLE | IL | 62025 |