| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1508177619 | ABEL | DANIEL | WALTER | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1730523846 | BONEK | RYAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1598763203 | CARUSO | JOSEPH | MICHAEL | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1194941708 | FRENTZ | NATALIE | JOY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |