Organization
BONE AND JOINT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARMED G. ELIAS M.D. (PRESIDENT)
(773) 545-6900
Entity
Organization
Contact information
Practice address
4211 N CICERO AVE, SUITE 200, CHICAGO, IL 60641-1651
(773) 545-6900
(773) 545-2220
Mailing address
4211 N CICERO AVE, SUITE 200, CHICAGO, IL 60641-1651
(773) 545-6900
(773) 545-2220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL7036
MEDICARE RAILROAD
IL
Enumeration date
07/22/2006
Last updated
06/12/2008
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