Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The South Bend Clinic, LLC

Organization Anesthesiology Physician · NPI 1487307492

The South Bend Clinic, LLC is an Anesthesiology Physician in South Bend, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-3096
Phone: (574) 239-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1487307492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Macken-Marble — Ceo · (574) 239-1567
NPI enumeratedJanuary 31, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address211 N Eddy St, South Bend, IN 46617-3096

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