Organization
ILLINOIS BONE AND JOINT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN (PRESIDENT)
(847) 375-3000
Entity
Organization
Contact information
Practice address
1919 SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-2361
(224) 765-5500
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 375-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
11/02/2011
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