NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447840103 |   |   |   | CHRISTIE CLINIC, LLC | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1063643187 | BRUNNER | DAWN |   |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1184631632 | BUCHANAN | CHARLES | R. |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203909 |
1427065028 | PALAZZOLO | MICHAEL | J. |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1326245655 | SAMUEL-PARKS | CARLA | DENISE |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203909 |