NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1811587579 |   |   |   | CHRISTIE CLINIC, LLC | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1679914675 | HAMMEL | MITCHELL |   |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |
1528793288 | HICKS | BRITTANY |   |   | 101 W UNIVERSITY AVE | CHAMPAIGN | IL | 618203981 |