| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669599841 | SKIN CARE CENTER OF SOUTHERN IL LLC | 4107 S WATER TOWER PL | MOUNT VERNON | IL | 628646293 | |||
| 1083015689 | AMASON | NATALIE | 2 CARLSON PKWY N STE 240 | PLYMOUTH | MN | 554474485 | ||
| 1578039707 | HALL | TINA | 2253 N FLAMINGO LN | SCHELLER | IL | 628833009 |