# CHICAGO BONE AND JOINT INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CBJI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689151078
- **Authorized official:** MOHAMED SIRAJUDEEN MR (AUTHORIZED MANAGER)
- **Authorized official phone:** (773) 552-1355

## Contact information

- **Practice address:** 8630 S PULASKI RD, CHICAGO, IL 60652-3633
- **Practice address phone:** (773) 767-8133
- **Mailing address:** 8630 S PULASKI RD, CHICAGO, IL 60652-3633
- **Mailing address phone:** (773) 767-8133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 07/27/2018