| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1477959724 | ERICKSON | KRISTEN | C | 819 BLOOMINGTON ROAD | CHAMPAIGN | IL | 61820 | |
| 1710923560 | HANSEN | SONJA | ELIZABETH | 819 BLOOMINGTON RD | CHAMPAIGN | IL | 618202101 | |
| 1790176402 | JOHNSON | TODD | RICHARD | 819 BLOOMINGTON RD | CHAMPAIGN | IL | 618202101 |