| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1881624161 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP | 109 CALIFORNIA ST | CARTERVILLE | IL | 629180577 | |||
| 1124259130 | MAXAM | ASHLEY | 109 CALIFORNIA ST | CARTERVILLE | IL | 629181923 | ||
| 1124330246 | RANGITSCH | CLAYTON | DANFORD | 109 CALIFORNIA ST | CARTERVILLE | IL | 629181923 |