ROBERT MORRIS UNIVERSITY ILLINOIS (NPI# 1124505508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124505508 |
| Entity Type | Organization |
| Organization Name | ROBERT MORRIS UNIVERSITY ILLINOIS |
| Other Organization Name | RMU SPORTS MEDICINE |
| Practice Address |
401 S State St Chicago IL 60605-1229 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RMU Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROBERT MORRIS UNIVERSITY ILLINOIS | 401 S State St, Chicago, IL 60605-1225 |
| Street Address |
401 S STATE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388995 | Caroline Nawara | Internal Medicine | 401 S State St, Suite 430, Chicago, IL 60605-1229 | 2005-10-04 |
| 1902376239 | Elias Bousheh | Specialist/Technologist | 401 S State St, Chicago, IL 60605-1229 | 2018-11-29 |
| 1679059018 | Maggie Butler | Specialist/Technologist | 401 S State St, Chicago, IL 60605-1229 | 2018-07-18 |
| 1235504069 | Jonathan Gargul IIi | Specialist/Technologist | 401 S State St, Chicago, IL 60605-1229 | 2015-12-04 |
| 1376940692 | Kelsey Rees | Specialist/Technologist | 401 S State St, Chicago, IL 60605-1229 | 2014-12-02 |
| 1053594051 | Matthew Robert Whitesell | Specialist/Technologist | 401 S State St, Robert Morris University, Chicago, IL 60605-1229 | 2007-12-12 |
| 1699978379 | Caroline Nawara Md, S.c. | Internal Medicine | 401 S State St, Suite 430, Chicago, IL 60605-1229 | 2007-06-08 |
| 1124175203 | Kelly L Potteiger | Specialist/Technologist | 401 S State St, Chicago, IL 60605-1229 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1225677404 | Mary Kathleen Walsh | Orthopaedic Surgery | 1611 W Harrison St, Chicago, IL 60612-4861 | 2020-01-05 |
| 1902367642 | Sebastian Ko | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-03-26 |
| 1073080909 | Kierra La Shawn Bruno-rodgers | Orthopaedic Surgery | 712 N Dearborn St, Chicago, IL 60654-3846 | 2018-10-29 |
| 1992220404 | Chicago Sports Medicine Institute | Orthopaedic Surgery | 875 N Dearborn St, Chicago, IL 60610-7377 | 2017-08-04 |
| 1417330242 | Nicholas Anthony Trasolini | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-06-29 |
| 1679960843 | John Lloyd Fritch | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2015-04-24 |
| 1083000905 | Blake Michael Bodendorfer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-07 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.