Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE M GOLDSTEIN MD (PRESIDENT)
(847) 375-3000
Entity
Organization
Contact information
Practice address
6308 8TH AVE, SUITE 2000, KENOSHA, WI 53143-5031
(262) 656-3590
(262) 656-3591
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
03/27/2015
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