| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376553339 | DWYER | DAVID | A | 601 W 2ND ST | BLOOMINGTON | IN | 474032317 | |
| 1811985229 | PEKLO | TIMOTHY | MICHAEL | 601 W 2ND ST | BLOOMINGTON | IN | 474032317 | |
| 1811422215 | WAVLE | NATHAN | DANA | 601 W 2ND ST | BLOOMINGTON | IN | 474032317 | |
| 1235716754 | ZAMANI | SHAGOOFA | 601 W 2ND ST | BLOOMINGTON | IN | 474032317 | ||
| 1205082021 | ZANTI | SARAH | MARIE | PO BOX 1329 | BLOOMINGTON | IN | 474021329 |