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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