Illinois Bone and Joint Institute, LLC

NPI #1487202669 in Mchenry, Illinois

Provider Information

NPI Number: 1487202669
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2019
Last Updated: Oct 18, 2019

Practice Location

Address: 406 FRONT ST STE 110
City: Mchenry
State: Illinois
ZIP Code: 60050-5593
Phone: (815) 344-8706

Authorized Official

Name: RAQUEL LEON
Title: CREDENTIALING MANAGER
Phone: (847) 324-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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