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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 100, MCHENRY, IL 60050-5593
(847) 381-0388
(847) 381-0811
Mailing address
250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
10/07/2026
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