| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760575229 | FULLERTON | JAMES | K | 1025 S 6TH ST | SPRINGFIELD | IL | 627032403 | |
| 1629299599 | HIGH | ERIC | M. | 1025 S 6TH ST | SPRINGFIELD | IL | 627032403 | |
| 1598922825 | MAI | TAM | THANH | 1025 S 6TH ST | SPRINGFIELD | IL | 627032403 |