Lindenwood University-Belleville
Lindenwood University-Belleville is a Sports Medicine (Orthopaedic Surgery) Physician in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2600 W Main StBelleville, IL 62226-6651
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence 036129925 (IL) |
|---|
Record details
| NPI number | 1316499155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Lindenwood University-Belleville Sports Medicine |
| NPI enumerated | October 27, 2016 |
| Last updated in NPPES | October 27, 2016 |
| Mailing address | 5050 Spring Valley Rd., Dallas, TX 75244-3909 |