| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023287745 | CAMPBELL | WILLIAM | CLEVELAND | 1040 SIERRA DR | GREENWOOD | IN | 461437240 | |
| 1013370857 | JACKSON | DELOVELY | GLORIA | 35318 EAGLE WAY | CHICAGO | IL | 606780353 | |
| 1174974661 | LARSEN | GLADYS | 50 S B B KING BLVD | MEMPHIS | TN | 381032626 | ||
| 1992918726 | RICHARDSON | LISA | K. | 1040 SIERRA DR | GREENWOOD | IN | 461437240 |