Organization
ILLINOIS BONE AND JOINT INSTIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE M GOLDSTEIN MD (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1028, CHICAGO, IL 60611-4546
(312) 664-6848
Mailing address
5057 PAYSPHERE CIR, CHICAGO, IL 60674-0050
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/06/2006
Last updated
02/25/2008
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