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Beacon Medical Group, Inc.
Radiation Oncology Physician in South Bend, Indiana
NPI 1770775009

Beacon Medical Group, Inc. is a Radiation Oncology Physician based in South Bend, IN and is specialized in Radiation Oncology. Beacon Medical Group, Inc. practices in South Bend, IN. The NPI Number for Beacon Medical Group, Inc. is 1770775009 and holds a License No. (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 621 Memorial Dr Ste 100, South Bend, IN and can be reached out via phone at 574-647-1100 and via fax at 574-647-5907. You can also correspond with Beacon Medical Group, Inc. through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1817).

Location: 621 Memorial Dr Ste 100, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770775009
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
621 Memorial Dr Ste 100, South Bend, IN, 46617-1924
Phone Number
574-647-1100
Fax Number
574-647-5907
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300046000 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 100
City
South Bend
State
Indiana
Zip
46601-1063
Phone Number
574-647-1100
Fax Number
574-647-5907
person
Provider Business Mailing Address Details
Address
710 N Niles Ave
City
South Bend
State
Indiana
Zip
46617-1924
Phone Number
574-647-1817
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
01021173A (Indiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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