| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811087604 | MULTI-CARE SPECIALISTS P C | PO BOX 505118 | ST LOUIS | MO | 631505118 | |||
| 1780326454 | BASHAM | AMANDA | JUNE | 3986 MARYVILLE RD | GRANITE CITY | IL | 620404191 | |
| 1285053504 | BROOKS | JONATHON | D | 3986 MARYVILLE RD | GRANITE CITY | IL | 620404191 | |
| 1629037536 | EAVENSON | MARK | 3986 MARYVILLE RD | GRANITE CITY | IL | 620404191 | ||
| 1194769166 | PRIEBE | DAVID | L | 3986 MARYVILLE RD | GRANITE CITY | IL | 620404191 | |
| 1134447519 | TYLER | ROSS | PO BOX 505118 | ST LOUIS | MO | 631505118 | ||
| 1720043029 | VOSS | COREY | PO BOX 505118 | ST LOUIS | MO | 631505118 | ||
| 1578078838 | WIDEMAN | JOSHUA | DANIEL | 3986 MARYVILLE RD | GRANITE CITY | IL | 620404191 |