Whalio Doctors

NPI 1053361543

Beacon Medical Group, INC.

Organisation Family Medicine Physician Granger, IN

Practice location

Address
6913 N Main St STE 300, Granger, IN 46530-8039
Phone
(574) 647-1500
Fax
(574) 647-2567
Mailing address
3245 Health Dr STE 100, Granger, IN 46530-1380

Authorised official

Name
Jeffrey Costello
Title
Vp-Cfo
Phone
(574) 647-3549

Registered specialties (7)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician
Allopathic & Osteopathic Physicians Taxonomy 207RE0101X
Rheumatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RR0500X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI
1053361543
Entity type
Organization
NPI issued
12 May 2006
Record last updated
12 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.