| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1336166941 | BERTONCINI | DAVID | C | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466289570 | |
| 1982694568 | BLECHL | JAMES | F | 4440 NORTH PORTAGE | SOUTH BEND | IN | 466289570 | |
| 1710904321 | GONGWER | CAMERON | R. | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466288579 | |
| 1043200629 | GONGWER | CURTIS | L | 4440 NORTH PORTAGE AVENUE | SOUTH BEND | IN | 466288579 |