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Beacon Medical Group, Inc.
Pediatric Hematology & Oncology Physician in South Bend, Indiana
NPI 1992756696

Beacon Medical Group, Inc. is a Pediatric Hematology & Oncology Physician based in South Bend, IN and is specialized in Pediatric Hematology-Oncology. Beacon Medical Group, Inc. practices in South Bend, IN. The NPI Number for Beacon Medical Group, Inc. is 1992756696 and holds a License No. 02001713A (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 615 N Michigan St 4Th Fl, South Bend, IN and can be reached out via phone at 574-647-6892 and via fax at 574-647-6895.

Location: 615 N Michigan St 4Th Fl, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992756696
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
615 N Michigan St 4Th Fl, South Bend, IN, 46617-1924
Phone Number
574-647-6892
Fax Number
574-647-6895
Provider Enumeration Date
05/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200510720A 05 IN
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St 4Th Fl
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-6892
Fax Number
574-647-6895
person
Provider Business Mailing Address Details
Address
615 N Michigan St 4Th Fl
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-6892
Fax Number
574-647-6895
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
2080P0207X
License No.
02001713A (Indiana)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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