BEACON MEDICAL GROUP, INC.

SOUTH BEND, IN
NPI1770775009
Doing Business AsBEACON MEDICAL GROUP ONCOLOGY SOUTH BEND
Doing Business AsBEACON MEDICAL GROUP ONCOLOGY ELKHART
Entity TypeOrganization
Authorized ContactJEFFREY P. COSTELLO
VP CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy2085R0001X Radiology, Radiation Oncology
(Licence: IN  01021173A)
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
Enumeration Date2007-08-10
Last Update Date2023-04-28
Business Address
BEACON MEDICAL GROUP, INC.
621 MEMORIAL DR STE 100
SOUTH BEND, IN 46601-1063
Phone number: 574-647-1100
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1817
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