NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447476205 | FASEN | JO | M |   | 1030 N STATE ST | CHICAGO | IL | 606105476 |
1063743433 | HARDT | KEVIN | D |   | 676 N SAINT CLAIR ST | CHICAGO | IL | 606112927 |
1134172760 | NUBER | GORDON |   |   | 259 E ERIE ST | CHICAGO | IL | 606112987 |
1578893368 | WONG | JEFFREY | J |   | 259 E ERIE ST | CHICAGO | IL | 606112987 |