| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184641706 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1457378069 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1356770267 | EVANS | LANA | L | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1912103151 | GOSHERT | REBA | J | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1255330924 | HOUCK | VERLIN | T. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1407855349 | MILLER | ANGELA | V | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1417958976 | MILLER | ERIC | J | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1346249364 | RUSSO | DANIELLE | R. | 710 N. NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1932447760 | WELDY | KRISTINE | MICHELLE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |