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Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN MD (PRESIDENT)
(847) 375-3000
Entity
Organization
Contact information
Practice address
101 WAUKEGAN RD STE 1100, LAKE BLUFF, IL 60044-3012
(847) 247-2402
(847) 247-2405
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
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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