NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1023297553 |   |   |   | PHYSICIANS SURGERY CENTER, LLC | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1154510808 |   |   |   | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1336205913 |   |   |   | CLINIC LABORATORY | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1417013095 |   |   |   | CARBONDALE RURAL HEALTH CLINIC | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1679639918 |   |   |   | THE CARBONDALE CLINIC AMBULATORY SURGICAL TREATMENT CENTER | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1710043435 |   |   |   | THE CARBONDALE CLINIC PHARMACY | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1952467532 |   |   |   | THE CARBONDALE CLINIC DME | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1184693160 | ABDO | RAMI |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1841344876 | ANANTACHAI | PRAMOTE |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1679041685 | BEYERS | KIRSTEN | ANNE |   | 1239 E MAIN ST | CARBONDALE | IL | 629013175 |
1306054770 | BOBO | LINDA | D |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1679639561 | BOTTIAUX | BIANCA |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1457355315 | BREWER | ROBERT | JUDSON |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1891809810 | BROWN | RUSSELL | W |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1477666394 | CHANG | HARK |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1184737306 | CHURLING | KATHRYN |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1407822406 | CLUTTS | DAVID | D |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1295727006 | DAKIN | CHRISTINE | MARIE |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1932159100 | DRESSEN | FREDERICK | J |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1538406038 | ELLETT | LORI | LEE |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1386727519 | JOHNSON | MOLLY | T |   | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1730432071 | JOHNSON | WENDI | LYNN |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1285723635 | JONES | ROGER | D |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1952471310 | LIMEGROVER | ANN |   |   | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1982917373 | MADDALA | SILPA |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1417190216 | MUTHULINGAM | VARATHASEELAN |   |   | P O BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1124010426 | PATEL | VASANT |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1548257322 | RYAN | MARSHA | G |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1154563708 | SARACENO | CARMELO | ANTONIO |   | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1609844927 | SCHABERG | SUSAN |   |   | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |
1043327141 | SMITH | MARK | L |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1326104290 | STAFF | MIKE |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1295017663 | TACDERAS | DEANNA | L. |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1508913427 | TRENTACOSTI | LORI |   |   | PO BOX 1105 | INDIANAPOLIS | IN | 462061105 |
1689661183 | VONHAKE | CHRISTOPHER | P |   | 2601 W MAIN ST | CARBONDALE | IL | 629011031 |