| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1306899554 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1245626225 | KELLEY | KATHLEEN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1386899425 | LAZZERI | JESSICA | LYNN | 3355 DOUGLAS RD | SOUTH BEND | IN | 466351781 | |
| 1508481334 | SCULATI | KARI | LEA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1477988590 | STEFANSKI | JENELLE | HALEY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |