NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1609466366 |   |   |   | CHRISTIE CLINIC, LLC | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1568637189 | LEE | DANIEL | JIN HYOUCK |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203909 |
1033505367 | WILLARD | SARAH | J |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203909 |