| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245263367 | MIDWEST EMERGENCY DEPARTMENT SPECIALISTS LTD | PO BOX 955277 | SAINT LOUIS | MO | 631955277 | |||
| 1487977427 | BURNHAM | LEONA | L | 701 N 1ST ST | SPRINGFIELD | IL | 627810001 | |
| 1528737897 | MIFFLIN | CASEY | 701 N 1ST ST | SPRINGFIELD | IL | 627810001 | ||
| 1912453895 | PATE | DAVID | DYLAN | 701 N 1ST ST | SPRINGFIELD | IL | 627810001 |