| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1396733101 | DAVID | DOUGLAS | MAYER | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1639167901 | FARABAUGH | WILLIAM | NORVAL | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1346631496 | KAMP | JAIMEE | MICHELLE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1225321722 | PANTALENA FILHO | LUIZ | C | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |