NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538666441 | BALLINGER | ASHTON | BREANNE |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384653 |
1134235823 | FLEMING | MELVIN | A. |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384693 |
1689693475 | GALVAN | JEFFREY | J |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384653 |
1306017751 | MEYER | SCOTT | E |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384693 |
1033225826 | MILLER | RICK |   |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384693 |
1942531090 | TAGGART | LESLIE | A |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384693 |
1538275227 | WOCHNER | NICOLE |   |   | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384693 |