| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205824018 | MACOMB SENIOR LIVING CENTER | 400 W GRANT ST | MACOMB | IL | 614552867 | |||
| 1730127218 | PETERSEN HEALTH PROPERTIES, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1841444601 | PETERSEN HEALTH OPERATIONS, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1619170248 | YOUNG | DON | ARNOLD | 28633 N MANLEY RD | AVON | IL | 614158843 |