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Organization
CHICAGO BONE AND JOINT INSTITUTE, LLC
Active
Organization
CHICAGO BONE AND JOINT INSTITUTE, LLC
Active
Other names
CBJI
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SIRAJUDEEN MR (AUTHORIZED MANAGER)
(773) 552-1355
Entity
Organization
Contact information
Practice address
8630 S PULASKI RD, CHICAGO, IL 60652-3633
(773) 767-8133
Mailing address
8630 S PULASKI RD, CHICAGO, IL 60652-3633
(773) 767-8133
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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