NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1194182188 |   |   |   | TRI COUNTY MEDICAL LLC | 7611 PERSHING BLVD | KENOSHA | WI | 531424317 |
1588041008 |   |   |   | TRI COUNTY MEDICAL LLC | 4310 W CRYSTAL LAKE RD | MCHENRY | IL | 600504214 |