| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619632163 | BALL | SHANTEL | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 | ||
| 1477910982 | MCDIVITT | TIMOTHY | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 | ||
| 1154720597 | SCOTT | TIFFANY | 645 S ROGERS ST | BLOOMINGTON | IN | 474032353 |