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
11830 S ROUTE 59 STE 100, PLAINFIELD, IL 60585-5895
(815) 230-8130
(815) 230-8131
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
207X00000X
Orthopaedic Surgery Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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