| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174788780 | FISK | JEREMY | G | PO BOX 775985 | CHICAGO | IL | 606775985 | |
| 1558348896 | HARRIS | CHARLES | R | PO BOX 869 | NOBLESVILLE | IN | 460610869 | |
| 1003215047 | HENRY | DAVID | PO BOX 775985 | CHICAGO | IL | 606775985 |