Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN MD (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
1450 BUSCH PARKWAY, SUITE 115A, BUFFALO GROVE, IL 60089
(224) 676-7960
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/31/2009
Last updated
06/14/2010
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