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
406 FRONT ST STE 100, MCHENRY, IL 60050-5593
(847) 381-0388
(847) 381-0811
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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