Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE M GOLDSTEIN MD (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
2350 RAVINE WAY, STE 600, GLENVIEW, IL 60025-7621
(847) 998-5680
(847) 998-6365
Mailing address
5057 PAYSPHERE CIR, CHICAGO, IL 60674-0050
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
12/06/2006
Last updated
07/21/2017
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