| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275877979 | HERITAGE MANOR - BLOOMINGTON, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 | |||
| 1457343170 | HERITAGE MANOR BLOOMINGTON, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 | |||
| 1508187204 | DAGG | PATRICK | 550 FRONTAGE RD | NORTHFIELD | IL | 600931202 | ||
| 1316268014 | WATTERSON | RENDA | 550 FRONTAGE RD | NORTHFIELD | IL | 600931202 |