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
350 S GREENLEAF ST, STE 405, GURNEE, IL 60031-5709
(847) 336-3335
Mailing address
5057 PAYSPHERE CIR, CHICAGO, IL 60674-0050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/06/2006
Last updated
08/12/2011
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