Trinity International University

NPI #1508463746 in Deerfield, Illinois

Provider Information

NPI Number: 1508463746
Entity Type: Organization
Organization Name: Trinity International University
Primary Specialty: Family Medicine
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 2065 HALF DAY RD
City: Deerfield
State: Illinois
ZIP Code: 60015-1241
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS III
Title: ADMINISTRATION/AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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