Graduated: 2024
NPI: 1639908601
Practice Locations (2)
17434 STATE RD, SUITE 23
SOUTH BEND, IN 466351743
5743290241
BEACON MEDICAL GROUP INC
707 N MICHIGAN ST, 400 BMG BEHAVIORAL HEALTH SOUTH BEND
SOUTH BEND, IN 466011071
5746478470
Source: CMS National Downloadable File, September 2026.