NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780688671 |   |   |   | PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC | 1411 W BROADWAY | CENTRALIA | IL | 628010001 |
1457318438 | BOWEN | KENDRA | D |   | 1441 W BROADWAY | CENTRALIA | IL | 628015613 |
1508258476 | FOSTER | TRACIE |   |   | PO BOX 955860 | SAINT LOUIS | MO | 631953060 |
1356392245 | HUMMEL | KAREN | DIANE |   | PO BOX 955860 | SAINT LOUIS | MO | 631955309 |
1669425526 | RAKEY | RUTH | E |   | 1441 W BROADWAY | CENTRALIA | IL | 628015613 |
1245751940 | RIAZ | MARIA |   |   | 1441 W BROADWAY | CENTRALIA | IL | 628015613 |
1326308248 | SADANALA | USHA | KIRAN |   | PO BOX 955860 | SAINT LOUIS | MO | 631955613 |
1568406064 | STOMBAUGH | REX |   |   | 1441 W BROADWAY | CENTRALIA | IL | 628015613 |