| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346494358 | PETERSEN HEALTH CARE - NOKOMIS, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1952399255 | PETERSEN HEALTH NETWORK, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1174198923 | DEGUZMAN | MARIBEL | 419 W 38TH ST APT 1 | CHICAGO | IL | 606091840 | ||
| 1902563943 | MASSENGILL | TIMOTHY | K | 1055 LOCUST AVE | NEOGA | IL | 624471404 | |
| 1245424480 | STAUDER | NICOLE | TONETTE | 523 WATER ST | NOKOMIS | IL | 620751444 |