| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376051292 | DETERS | KAYLA | R | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384653 | |
| 1508495847 | HAKMAN | EVAN | CHRISTOPHER | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384653 | |
| 1689206492 | WATKINS | NICHOLAS | D | 1005 HEALTH CENTER DR STE 201 | MATTOON | IL | 619384653 |