| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275900896 | | | | GRACEWAY PSYCHOLOGY GROUP, LLC | PO BOX 2257 | CHESTERTON | IN | 463040357 |
| 1164819058 | BAUER | CARINA | | | 513 N HICKORY ST | CHAMPAIGN | IL | 618203687 |
| 1235577990 | BLOCHER | WEIMIN | GRACE | | 201 W SPRINGFIELD AVE STE 211 | CHAMPAIGN | IL | 618204880 |
| 1851663256 | DAVENPORT | TERESA | L | | 40 CAMELOT DR | FOND DU LAC | WI | 549358049 |
| 1568763977 | FULLER FRICKE | REBEKAH | LEE | | PO BOX 2257 | CHESTERTON | IN | 463040357 |
| 1447487855 | GOBIN | ROBYN | LATRICE | | 100 N CHESTNUT ST STE 244 | CHAMPAIGN | IL | 618204856 |
| 1962874495 | GUARDINI | LUCIANA | ANGELICA | | 3515 CYPRESS CREEK RD | CHAMPAIGN | IL | 618227947 |
| 1669980363 | HAUSER | CLAIRE | | | 100 N CHESTNUT ST STE 244 | CHAMPAIGN | IL | 618204856 |
| 1790441939 | LINDBOM | TAYLOR | | | 100 N CHESTNUT ST STE 244 | CHAMPAIGN | IL | 618204872 |