| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1841582087 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1578082582 | BACSIK | MARY | FRANCES | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1053486191 | HALLORAN | WALTER | HENRY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1932367083 | SYED | AMJAD | Q | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |