| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205852365 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1578562070 | KNOX | ROBERT | M | 27082 W MAIN ST | EDWARDSBURG | MI | 491129334 | |
| 1023231099 | LIRA | LINDSEY | DANIELLE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1962401091 | PASCUAL | CYNTHIA | LYNN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |