OrganizationActive
Robert Morris University Illinois
NPI 1124505508 · Sports Medicine (Orthopaedic Surgery) Physician · Chicago, IL
Provider details
- NPI number
- 1124505508
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Administrator(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
401 S State St
Chicago, IL 60605-1229
Phone: (972) 367-4845
Approximate (ZIP-level) locationGet directions
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names (DBA / former)
- Doing business as
- Rmu Sports Medicine
Registry dates
- Enumerated
- 2018-07-27
- Last updated
- 2018-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.