| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629629357 | | | | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP | PO BOX 577 | CARTERVILLE | IL | 629180577 |
| 1144661158 | AGOSTO | STACY | L | | 109 CALIFORNIA ST | CARTERVILLE | IL | 629180577 |
| 1326525668 | ALLEN | TIFFANY | D | | 109 CALIFORNIA ST, PO BOX 577 | CARTERVILLE | IL | 629180577 |
| 1639797624 | BAINBRIDGE | THERESA | | | 109 CALIFORNIA ST | CARTERVILLE | IL | 629180577 |
| 1578221719 | DODD | LINDA | | | 109 CALIFORNIA ST | CARTERVILLE | IL | 629180577 |
| 1528478559 | FEATHER | RENEE | BARNES | | 109 CALIFORNIA ST, PO BOX 577 | CARTERVILLE | IL | 629180577 |
| 1417590639 | WERNSMAN | RACHAEL | | | 109 CALIFORNIA ST | CARTERVILLE | IL | 629180577 |
| 1457722910 | WESHINSKEY | ETHAN | | | PO BOX 577 | CARTERVILLE | IL | 629180577 |