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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
202 S GREENLEAF ST STE 202-F, GURNEE, IL 60031-3399
(847) 336-3335
(847) 336-3249
Mailing address
900 RAND RD, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
07/03/2025
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