| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124071246 | BEACON MEDICAL GROUP INC | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1821482431 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1699215582 | CAFFERY | KAYTLYN | K | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1386634236 | LIU | PAUL | C | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1497358113 | MCDANIEL | MEGAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1124262522 | ONUJIOGU | NONYEM | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1629255880 | PERRY | LATOYA | JEANEEN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1891463527 | YUAN | CARRIE | Y | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |