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
521 GREEN BAY ROAD, WILMETTE, IL 60091-2604
(847) 998-5680
Mailing address
5057 PAYSPHERE CIR, CHICAGO, IL 60674-0050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
12/05/2006
Last updated
10/02/2012
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