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Organization

ILLINOIS BONE AND JOINT INSTITUE, LLC

Active
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Organization

ILLINOIS BONE AND JOINT INSTITUE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE GOLDSTEIN (PRESIDENT)
(847) 375-3000
Entity
Organization

Contact information

Practice address
101 WAUKEGAN RD STE 990, LAKE BLUFF, IL 60044-1687
(847) 324-3976
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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