| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346231412 | BAUER | JENNIFER | S | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1295058717 | FULLER | ERINN | C | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1346294360 | LYONS | CARLTON | L. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1174503866 | ROTH | TED | M. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1104973536 | SCHALLIOL | ELIZABETH | DIANE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |