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Beacon Medical Group, Inc. — NPI 1487061131, Lagrange, IN | NPI Central

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NPI 1487061131

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Beacon Medical Group, Inc.

NPI 1487061131 · Cardiovascular Disease Physician · Lagrange, IN

Provider details

NPI number: 1487061131
Entity type: Organization
Primary specialty: Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jeffrey Costello, Cfo(574) 647-3549

Specialties & taxonomies

Cardiovascular Disease PhysicianPrimary207RC0000X
Allopathic & Osteopathic Physicians

Practice location

2400 N Ventura Way

Lagrange, IN 46761-4101

Phone: (574) 524-7123

Fax: (574) 296-6522

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

710 N Niles Ave

South Bend, IN 46617-1924

Other names (DBA / former)

Doing business as: Beacon Medical Group Lagrange Specialty Clinic

Registry dates

Enumerated: 2014-07-15
Last updated: 2016-08-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.