| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184823163 | SHORE | DAVID | MICHAEL | 1011 W WELLINGTON AVE | CHICAGO | IL | 606574325 | |
| 1558356253 | YONOVER | PAUL | M | 1011 W WELLINGTON AVE | CHICAGO | IL | 606574325 | |
| 1861488892 | YOUNG | MICHAEL | J | 1011 W WELLINGTON AVE | CHICAGO | IL | 606574325 |