| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528691797 | MCLEANSBORO HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1649424656 | PETERSEN HEALTH OPERATIONS, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1801834387 | MCLEANSBORO HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 |