| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1235176504 | PETERSEN HEALTH OPERATIONS, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1548414550 | PETERSEN HEALTH OPERATIONS | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1710342076 | UTHE | REBECCA | 901 ILLINI DRIVE | EAST PEORIA | IL | 61611 | ||
| 1629231840 | WYLIE | CAROL | RUCH | 901 ILLINI DR | EAST PEORIA | IL | 616111840 |