NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1568619088 |   |   |   | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC | 1207 NETWORK CENTRE DR | EFFINGHAM | IL | 624014632 |
1619068061 | BRADDY | MICHELLE | RAE |   | 1207 NETWORK CENTRE DR | EFFINGHAM | IL | 624014632 |
1972892313 | KISTNER | JENNIFER | ELIZABETH |   | 1207 NETWORK CENTRE DR STE 3 | EFFINGHAM | IL | 624014632 |