| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1548415474 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1053387175 | ANSARI | ASAD | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1407988983 | CRAKER | VICKIE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1326065285 | EL-ZIND | SAMIRA | HASSAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1356536221 | JORDAN | LAURA | LYNN | 710 N. NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1275802332 | PEREZ - SOLANO | DIANA | E | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1841207107 | ZAIDI | WAHAJ | M | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |