# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1285270074
- **Authorized official:** WAYNE GOLDSTEIN (PRESIDENT)
- **Authorized official phone:** (847) 324-3976

## Contact information

- **Practice address:** 3000 N HALSTED ST STE 525, CHICAGO, IL 60657-9269
- **Practice address phone:** (773) 433-3130
- **Practice address fax:** (773) 433-3127
- **Mailing address:** 250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
- **Mailing address phone:** (847) 324-3976
- **Mailing address fax:** (847) 929-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/27/2019
- **Last updated:** 10/07/2026