Organization
ILLINOIS BONE AND JOINT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
3296 EXECUTIVE DR UNIT 201, JOLIET, IL 60431-8501
(815) 207-4223
(815) 744-8624
Mailing address
5057 PAYPHERE CIRCLE, CHICAGO, IL 60674-0001
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/02/2020
Last updated
06/20/2022
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