# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1598823924
- **Authorized official:** WAYNE M GOLDSTEIN MD (PRESIDENT)
- **Authorized official phone:** (847) 324-3976

## Contact information

- **Practice address:** 7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
- **Practice address phone:** (847) 676-5979
- **Mailing address:** 5057 PAYSPHERE CIR, CHICAGO, IL 60674-0050

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/12/2011