| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467408237 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1366820359 | BALINT | BRADLEY | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1891989539 | DUTKIEWICZ | AMANDA | KATHRINE WILLEMS | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1184012130 | GOURABATHINI | HARI | RASAD | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1215322052 | LEUSINK | MELANIE | LILLIAN | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1720474620 | O'CONNOR | SARAH | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | ||
| 1356507636 | SLINKO | SIARHEI | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |