| Trinity International University | |
|
2065 Half Day Rd Deerfield IL 60015-1241 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | Trinity International University |
|---|---|
| Speciality | Family Medicine |
| Location | 2065 Half Day Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATION/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity International University 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Trinity International University 2065 Half Day Rd Deerfield IL 60015-1241 Ph: (972) 367-4845 |
| NPI Number | 1508463746 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508463746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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