| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1689691297 | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |||
| 1760481402 | ESCOVAR | FERNANDO | S. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 | |
| 1760848451 | KNAFEL | RACHEL | MARIE | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |