| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205887817 | BEACON MEDICAL GROUP INC | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1578552386 | BALOG | NATALI | M | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1053396127 | DOMINGO | MARY ANN | R | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |