| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003042318 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1376737387 | MORRIS | SHELLEY | A. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1487653408 | SCHMELTZ | MARK | P | 710 N. NILES AVE | SOUTH BEND | IN | 466171924 |