NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1174859870 |   |   |   | SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP | 109 CALIFORNIA ST | CARTERVILLE | IL | 629181923 |
1154727394 | HARRINGTON | COREY |   |   | 109 CALIFORNIA STREET | CARTERVILLE | IL | 629180577 |
1053647032 | KIMBROUGH | RALPH |   |   | 109 CALIFORNIA ST | CARTERVILLE | IL | 629181923 |
1801952775 | LYONS | MARY | C |   | 109 CALIFORNIA STREET | CARTERVILLE | IL | 629180577 |
1023344702 | POWERS | TERRY |   |   | 109 CALIFORNIA ST | CARTERVILLE | IL | 629181923 |
1902117336 | SPIVEY | VALERIE | N |   | 109 CALIFORNIA STREET | CARTERVILLE | IL | 629180577 |