| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588024624 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1215135918 | CASPER | TRAVIS | WADE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1770522989 | CHO | SANDRA | A | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1467687277 | CRAFT | LEAH | DIANE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1710516059 | DAVIS | SARA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1447215611 | GOREJA | ARIF | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1750379871 | HALL | CHRISTOPHER | CHARLES | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1932339363 | HUSS | DEANNA | LEA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1508836172 | RIZVI | SYED | MOHSAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1255371514 | TACK | OLIVIA | GRAYCE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1326536095 | TIBURZI | DYLLAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1205240637 | WHITNEY | JOHN | A | 710 N. NILES AVE | SOUTH BEND | IN | 466171924 |