# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1962219568
- **Authorized official:** RAQUEL LEON (CREDENTIALING MANAGER)
- **Authorized official phone:** (847) 324-3976

## Contact information

- **Practice address:** 3030 W SALT CREEK LN STE 100, ARLINGTON HEIGHTS, IL 60005-5006
- **Practice address phone:** (847) 870-4200
- **Practice address fax:** (847) 870-0059
- **Mailing address:** 250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
- **Mailing address phone:** (847) 324-3976
- **Mailing address fax:** (847) 929-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 12/17/2024
- **Last updated:** 10/07/2026