| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1407861164 | PHYSICIAN PRACTICE ORGANIZATION | 3203 MIDDLE DR | COLUMBUS | IN | 472034427 | |||
| 1356871198 | BOOTH | KELSEY | LYNN | PO BOX 775383 | CHICAGO | IL | 606775383 | |
| 1376501015 | BOYER | DAN | J | 3203 MIDDLE RD | COLUMBUS | IN | 472034427 | |
| 1598723959 | CROWDER | JONATHAN | SLADE | PO BOX 775383 | CHICAGO | IL | 606775383 | |
| 1790778785 | HANNAH | JAMIE | N | PO BOX 775383 | CHICAGO | IL | 606774427 | |
| 1467410100 | PORTER | DAVID | JOEL | PO BOX 775383 | CHICAGO | IL | 606775383 | |
| 1558329292 | SANDERS | SHIRLEY | JOANNE | 806 JACKSON ST | COLUMBUS | IN | 472016264 | |
| 1831198688 | SIMON | KATHLEEN | ANN | 3203 MIDDLE ROAD | COLUMBUS | IN | 472034427 |