| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1598908733 | EWALD | ROGER | 819 BLOOMINGTON RD | CHAMPAIGN | IL | 618202101 | ||
| 1447680616 | FOLTZ | SANDRA | 819 BLOOMINGTON RD | CHAMPAIGN | IL | 618202101 | ||
| 1689845620 | RUSSELL | ANN | CAROL | 2905 NORTH MAIN STREET | DECATUR | IL | 62526 |