Organization
ILLINOIS BONE AND JOINT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN (PRESIDENT)
(847) 324-3976
Entity
Organization
Contact information
Practice address
363 N MAIN ST STE A, WAUCONDA, IL 60084-3036
(847) 487-0290
(847) 487-0292
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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