| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205387958 | PASSAVANT PHYSICIAN ASSOCIATION | 1600 W WALNUT ST | JACKSONVILLE | IL | 626501136 | |||
| 1538364393 | PETER A TRACE, M.D. | 1600 W WALNUT ST | JACKSONVILLE | IL | 626501136 | |||
| 1588186084 | DESPAIN | CAITLEN | ELIZABETH | 610 N WESTGATE AVE | JACKSONVILLE | IL | 626501152 | |
| 1780726430 | HRYNEWYCH | ALEXANDER | M | 610 N WESTGATE AVE | JACKSONVILLE | IL | 626501152 | |
| 1598727620 | OLEJNIK | JEFFREY | L | 610 N WESTGATE AVE | JACKSONVILLE | IL | 626501152 | |
| 1316387947 | RAW | ALEXANDER | DAVID | 1600 W WALNUT ST | JACKSONVILLE | IL | 626501136 |