| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1992756696 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1821288333 | HAERTLING | TRACY | ANN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1043441231 | HERMAN | ANGELA | C | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1437306552 | MORRISON | COLLEEN | BRIDGET | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1023533890 | PULLIAM | TRACI | RENEE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |