| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1295194009 | SOUTHERN IL REGIONAL WELLNESS CENTER | 1736 KINGSHIGHWAY | WASHINGTON PARK | IL | 622042135 | |||
| 1336258540 | SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER | 1736 KINGSHIGHWAY | EAST SAINT LOUIS | IL | 622042134 |