| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1871542811 | BRYANT | MICHAEL | ANTHONY | PO BOX 3988 | CARBONDALE | IL | 629023988 | |
| 1962485037 | CHANG | DONGWOO | JOHN | PO BOX 3988 | CARBONDALE | IL | 629023988 | |
| 1235310756 | CHU | GORDON | KT | PO BOX 3988 | CARBONDALE | IL | 629023988 | |
| 1932578895 | STARKWEATHER | CORI | PO BOX 3988 | CARBONDALE | IL | 629023988 | ||
| 1396734414 | VARGAS | EUGENIO | FORTUNATO | PO BOX 3988 | CARBONDALE | IL | 629023988 |