Beacon Medical Group, Inc.

NPI #1114262078 in Elkhart, Indiana

Provider Information

NPI Number: 1114262078
Entity Type: Organization
Organization Name: Beacon Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 4, 2012
Last Updated: Apr 24, 2023

Practice Location

Address: 1506 OSOLO RD STE C
City: Elkhart
State: Indiana
ZIP Code: 46514-4122
Phone: (574) 266-6050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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