| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578862181 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1972857704 | DIAZ | SUSANA | 710 N. NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1356803134 | EMCH | CRISTINA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1851748693 | GARRETT | ERICA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1477977767 | HOLDERREAD | MELISSA | E | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1184952848 | MABRY | LAURA | THERESA | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1700403581 | PONTIUS | DAPHNE | 216 S 3RD AVE | WAUSAU | WI | 544014636 |