NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1427325034 | ACEVEDO | JOSUE | DAVID |   | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
1225069057 | LEUTZ | DARR | W |   | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
1174532121 | LEVINSOHN | DAVID | G. |   | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
1396761318 | PIMLOTT | BRYAN | JAMES |   | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
1184992265 | SANTIAGO RODRIGUEZ | JOSE | R |   | 1005 BROADWAY ST | QUINCY | IL | 623012834 |
1962481366 | WERRIES | BARRY | ALLAN |   | 1005 BROADWAY ST STE B104 | QUINCY | IL | 623012834 |