| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1164820312 | EDWARDS | JONATHAN | 1405 E 12TH ST | MENDOTA | IL | 613429010 | ||
| 1790140580 | ENGELS-ARTEAGA | CAITLIN | J | 1405 E 12TH ST | MENDOTA | IL | 613429010 | |
| 1508319914 | PILLER | STACY | A | 1405 E 12TH ST | MENDOTA | IL | 613429010 |