| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1083868095 | PETERSEN HEALTH OPERATIONS, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1265532493 | VANDALIA HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1447883624 | VANDALIA HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1144973777 | DAVIS | BAYLEE | ASHTYNN | 2215 BRIAN ST | VANDALIA | IL | 624714103 |