Organization
ILLINOIS BONE AND JOINT OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE M. GOLDSTEIN (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
1717 N ASHLAND AVE, CHICAGO, IL 60622-1449
(773) 772-4203
Mailing address
1717 N ASHLAND AVE, CHICAGO, IL 60622-1449
(773) 772-4203
(773) 772-9989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
01/05/2010
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