| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1447285697 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1740501444 | FELSMAN | LISA | J | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1609197391 | GRANNELL | JUSTIN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1316270523 | PINTO | TAMARA | L | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1730188707 | SHAFER | ELAINE | L. | 306 E VISTULA ST | BRISTOL | IN | 465079489 | |
| 1871592865 | SZUBA | JEFFREY | T. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |