| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1487061131 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1679980320 | BEACON MEDICAL GROUP INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1740504315 | WANEE WALK IN CLINIC LLC | PO BOX 386 | WAKARUSA | IN | 465730386 |