# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881484681
- **Authorized official:** RAQUEL LEON (CRED MANAGER)
- **Authorized official phone:** (847) 324-3976

## Contact information

- **Practice address:** 202 S GREENLEAF ST STE 202-F, GURNEE, IL 60031-3399
- **Practice address phone:** (847) 336-3335
- **Practice address fax:** (847) 336-3249
- **Mailing address:** 900 RAND RD STE 300, DES PLAINES, IL 60016-2359
- **Mailing address phone:** (847) 324-3976
- **Mailing address fax:** (847) 929-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/07/2025
- **Last updated:** 05/07/2025