| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023670759 | SCOVILLE | ALISHA | NICOLE | 2630 22ND STREET | COLUMBUS | IN | 47201 | |
| 1760591648 | TERRELL | KEVIN | PO BOX 775383 | CHICAGO | IL | 606775383 | ||
| 1982265146 | WATERS | SHAREN | MARIE | 2630 22ND ST | COLUMBUS | IN | 472013702 |