Illinois Bone and Joint Institute, LLC
NPI 1669020848ActiveOrganization· Orthopaedic Surgery· McHenry, IL
Orthopaedic Surgery in McHenry, Illinois, registered in NPPES in August 2019. The authorized official on file is Raquel Leon, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - general surgery.
Overview
| NPI | 1669020848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2019 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (IL) |
|---|
Other Orthopaedic Surgery providers in McHenry
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