| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518990704 | SHELBYVILLE HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1629222633 | PETERSEN HEALTH OPERATIONS | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1912530189 | SHELBYVILLE HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1710548268 | EDWARDS | KIMBERLY | JEAN | 921 S MADISON ST | SULLIVAN | IL | 619512323 | |
| 1609421627 | SCHUMACHER | JESSICA | R | 16911 N 1630TH ST | EFFINGHAM | IL | 624016768 |