| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518966530 | MEAD | DALE | R | 3565 MOMENTUM PL | CHICAGO | IL | 606895335 | |
| 1295944239 | PACK | BRYAN | JON | 3565 MOMENTUM PL | CHICAGO | IL | 606895335 | |
| 1518901560 | RISPLER | DAVID | T | 3565 MOMENTUM PL | CHICAGO | IL | 606895335 |