| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518316140 | DITTY | JONATHAN | EDWARDS | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 | |
| 1285998146 | LARSEN | THOMAS | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 | ||
| 1871195487 | POINTON | GABRIELLE | E | 4440 PORTAGE AVE | SOUTH BEND | IN | 466289570 | |
| 1063402444 | SEASLY | THOMAS | P | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 | |
| 1689664070 | STANISH | MARK | S | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 |