Beacon Medical Group, Inc.

NPI #1003042318 in Granger, Indiana

Provider Information

NPI Number: 1003042318
Entity Type: Organization
Organization Name: Beacon Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 2, 2009
Last Updated: Apr 24, 2023

Practice Location

Address: 12340 BITTERSWEET COMMONS BLVD W
City: Granger
State: Indiana
ZIP Code: 46530-6959
Phone: (574) 271-8610

Authorized Official

Name: MR. JEFFREY P COSTELLO
Title: CFO
Phone: (574) 647-3549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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