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TRINITY INTERNATIONAL UNIVERSITY
NPI 1508463746
Family Medicine in Deerfield, IL

Active since October 01, 2020
2065 HALF DAY RD, DEERFIELD, IL 60015(972) 367-4845 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trinity International University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY INTERNATIONAL UNIVERSITY (NPI 1508463746), doing business as Tiu Sports Medicine, is a healthcare organization registered as a family medicine in Deerfield, Illinois and active in the NPI registry since October 2020. The organization lists Mouzon Bass, Administration/agent, as its authorized official.

NPPES Registry Identity

NPI1508463746
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRINITY INTERNATIONAL UNIVERSITY
Location Address2065 HALF DAY RDDeerfield, IL 60015-1241
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministration/agent · (972) 367-4845
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1508463746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2065 HALF DAY RD, Deerfield, IL 60015
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Other Names 1

Doing Business AsTiu Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANGELA MARIE FERGUSON MS, ATC
Specialist/Technologist (Athletic Trainer)
2065 HALF DAY RD
BANNOCKBURN, IL 60015
Lake County (847) 317-7116
GRANT KLOTZBUECHER
Specialist/Technologist (Athletic Trainer)
2065 HALF DAY RD
DEERFIELD, IL 60015
Lake County (920) 980-4537
JENDAYI WATKINS
Specialist/Technologist (Athletic Trainer)
2065 HALF DAY RD
DEERFIELD, IL 60015
Lake County (630) 487-9241
KATHERINE DAWN KLINGENBERG
Specialist/Technologist (Athletic Trainer)
2065 HALF DAY RD, T-1406
DEERFIELD, IL 60015
Lake County (847) 513-2011
ELIZABETH WAJSWOL
Specialist/Technologist (Athletic Trainer)
2065 HALF DAY RD
DEERFIELD, IL 60015
Lake County (847) 945-8800
RAUL ANAYA JR.
Student in an Organized Health Care Education/Training Program
2065 HALF DAY RD
DEERFIELD, IL 60015
Lake County (847) 945-8800
PETER CUI
Student in an Organized Health Care Education/Training Program
2065 HALF DAY RD
BANNOCKBURN, IL 60015
Lake County (847) 945-8800
CONSTANCE JOAN HERRON BSN, MPH
Registered Nurse
2065 HALF DAY RD
DEERFIELD, IL 60015
Lake County (847) 317-6698

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity International University's NPI number?

The NPI number for Trinity International University is 1508463746. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as TIU Sports Medicine.

Where is Trinity International University located?

Trinity International University is located at 2065 Half Day Rd, Deerfield, IL 60015. The listed phone number is (972) 367-4845.

What is Trinity International University's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Trinity International University was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.