| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700920220 | PENNA | LAURA | 8616 NORTHERN AVE | ROCKFORD | IL | 611075309 | ||
| 1619246030 | STEPHAN | SUZANNE | ELIA | 8616 NORTHERN AVE | ROCKFORD | IL | 611075309 | |
| 1568858371 | STEWART | KRYSTAL | L | 8616 NORTHERN AVE | ROCKFORD | IL | 611075309 |