BEACON MEDICAL GROUP, INC.
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1124079330- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1815 E IRELAND RD, SOUTH BEND, IN, 466142845
- Phone
- (574) 647-1700
- Fax
- (574) 291-3351
Specialties & Taxonomies
Nurse Practitioner, Family
Neurological Surgery
Family Medicine, Sports Medicine
Radiology, Diagnostic Ultrasound
Internal Medicine
Physician Assistant
Internal Medicine, Rheumatology
Internal Medicine, Interventional Cardiology
Family Medicine
Primary License: IN #01043622A