| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1437100161 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1013948348 | SHULL | JON | ANDREW | 3355 DOUGLAS RD | SOUTH BEND | IN | 466351781 | |
| 1528358405 | TRACEY | LUANN | MARIE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |