| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982682944 | GRUBER | JAMES | H | 303 NW 11TH ST | FAIRFIELD | IL | 628371203 | |
| 1467900548 | HARRIS | KRISTEN | ASHLEE | 303 NW 11TH ST | FAIRFIELD | IL | 628371203 | |
| 1629072160 | SNOWDEN | JOHN | DOUGLAS | 303 NW 11TH ST | FAIRFIELD | IL | 628371203 |