| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417108663 | PETERSEN HEALTH CARE II, INC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1811953532 | WATSEKA HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1982237160 | WATSEKA HCO, LLC | 830 W TRAILCREEK DR | PEORIA | IL | 616141862 | |||
| 1437893989 | HARDT | SCOTT | 7772 E 4500S RD | SAINT ANNE | IL | 609644081 | ||
| 1760076426 | KNIGHT | BETHANY | M | 2280 E STATE ROUTE 9 | PAXTON | IL | 609574100 |