# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1386981173
- **Authorized official:** WAYNE GOLDSTEIN MD (PRESIDENT)
- **Authorized official phone:** (847) 375-3000

## Contact information

- **Practice address:** 716 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
- **Practice address phone:** (847) 362-4483
- **Practice address fax:** (847) 362-4920
- **Mailing address:** 900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
- **Mailing address phone:** (847) 324-3976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | Yes |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 07/21/2022