# ILLINOIS BONE AND JOINT INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1780743054
- **Authorized official:** WAYNE M GOLDSTEIN MD (PRESIDENT)
- **Authorized official phone:** (847) 324-3976

## Contact information

- **Practice address:** 350 S GREENLEAF ST, STE 405, GURNEE, IL 60031-5709
- **Practice address phone:** (847) 336-3335
- **Mailing address:** 250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252

## 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:** 12/06/2006
- **Last updated:** 10/07/2026