Chicago Bone and Joint Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHICAGO BONE AND JOINT INSTITUTE, LLC

Doing business as

Cbji

Practice address

8630 S Pulaski Rd
Chicago, IL 60652-3633

Phone

(773) 767-8133

NPI assigned

Jul 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Sirajudeen, MR

Title

Authorized Manager

Phone

(773) 552-1355

Specialties & licenses 1

Addresses

Other names 1

• CBJI Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1689151078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "773-767-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "773-767-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO BONE AND JOINT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SIRAJUDEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "AUTHORIZED MANAGER",
        "authorized_official_telephone_number": "773-552-1355",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBJI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.