| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780688671 | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC | 1411 W BROADWAY | CENTRALIA | IL | 628010001 | |||
| 1457318438 | BOWEN | KENDRA | D | 1441 W BROADWAY | CENTRALIA | IL | 628015613 | |
| 1144274952 | JAIN | VIPIN | K | 1441 W BROADWAY | CENTRALIA | IL | 628015613 | |
| 1245751940 | RIAZ | MARIA | 1441 W BROADWAY | CENTRALIA | IL | 628015613 | ||
| 1568406064 | STOMBAUGH | REX | 1441 W BROADWAY | CENTRALIA | IL | 628015613 |