NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902813454 | BIRD | GINA | C. |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203909 |
1073951729 | FOOTE | CAITLYN | ANNICE |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1154639508 | LANE | KATHRYN | LEE SEROWKA |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |