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Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL LEON (CREDENTIALING MANAGER)
(847) 324-3976
Entity
Organization
Contact information
Practice address
406 FRONT ST STE 110, MCHENRY, IL 60050-5593
(815) 344-8706
(815) 344-8793
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
10/18/2019
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