# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073916128
- **Authorized official:** WAYNE GOLDSTEIN MD (PRESIDENT)
- **Authorized official phone:** (847) 375-3000

## Contact information

- **Practice address:** 815 COG CIR STE 1, CRYSTAL LAKE, IL 60014-7302
- **Practice address phone:** (815) 526-5980
- **Mailing address:** 250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
- **Mailing address phone:** (847) 324-3976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 10/07/2026