| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063815389 | ALLEN | LAURIE | SUSAN | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 474018368 | |
| 1407129414 | MCGRATH | KELLY | LYNN | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 474018368 | |
| 1437370806 | SMITHERS | JEFFREY | DANIEL | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 474018368 | |
| 1275888349 | STROBEL | MICHAEL | JAMES | 2605 E CREEKS EDGE DR | BLOOMINGTON | IN | 474018368 |