Organization
IBJI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 816-0656
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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