| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023533825 | BLASER | JEREMIAH | 1686 HENRY LUCKOW LN | BELVIDERE | IL | 610081705 | ||
| 1710099395 | CAMDEN | KEVIN | D | 6192 MUIRFIELD LN | ROCKFORD | IL | 611147830 | |
| 1902901879 | GULSRUD-NEIBER | LORI | L | 1686 HENRY LUCKOW LN | BELVIDERE | IL | 610081705 | |
| 1992800874 | MCKENZIE | PAULA | M | 1686 HENRY LUCKOW LN | BELVIDERE | IL | 610081705 | |
| 1326145731 | MEYERS | JOSHUA | J | 522 S STATE ST | BELVIDERE | IL | 610083709 | |
| 1932344991 | SEPPELT | TIMOTHY | S | 1686 HENRY LUCKOW LN | BELVIDERE | IL | 610081705 |