NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184626434 |   |   |   | PROVIDENCE OPERATIONS, LLC | 18601 NORTH CREEK DRIVE | TINLEY PARK | IL | 60477 |
1174292833 | ALVAREZ | ROBERTO |   |   | 7441 W IRVING PARK RD | CHICAGO | IL | 606342170 |
1639848575 | BETTINARDI | DANIELLE |   |   | 3450 SARATOGA AVE | DOWNERS GROVE | IL | 605151141 |
1588335632 | DURAN | TRINIDAD | PARUNGAO |   | 3450 SARATOGA AVE | DOWNERS GROVE | IL | 605151141 |
1336711340 | HARRINGTON-TAYLOR | ALISHA | R |   | 1326 N WALLER AVE # 1 | CHICAGO | IL | 606511151 |
1316695927 | HERCE | TAMARA | MARIJA |   | 23663 ADAMS CT | PLAINFIELD | IL | 605861066 |
1114698263 | REYES | NESTORIO NEIL | U |   | 3450 SARATOGA AVE | DOWNERS GROVE | IL | 605151141 |
1205507357 | SACATROPEZ | JENNIFER | VELONTA |   | 3450 SARATOGA AVE | DOWNERS GROVE | IL | 605151194 |
1720650724 | SCOTT | LEE ANNE | A |   | 3450 SARATOGA AVE | DOWNERS GROVE | IL | 605151141 |
1528734233 | TAPANG | ANNETTE |   |   | 1811 HOBSON LN | AURORA | IL | 605037613 |