| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1306913868 | ROBERT H AND TERESITA S PETTY | PO BOX 1660 | INDEPENDENCE | MO | 640550660 | |||
| 1831280536 | EFFINGHAM SURGICAL PARTNERS LLC | 904 W TEMPLE AVE | EFFINGHAM | IL | 624012178 | |||
| 1336258045 | CARROLL | LARRY | J | 2630 E FORK DR | VANDALIA | IL | 624713818 | |
| 1922393305 | ELLIS | MARIA | C. | 904 W TEMPLE AVE | EFFINGHAM | IL | 624012178 | |
| 1841259744 | PETTY | ROBERT | H | PO BOX 1660 | INDEPENDENCE | MO | 640550660 |