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
2401 RAVINE WAY, STE 100, GLENVIEW, IL 60025-7645
(847) 724-4791
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/06/2006
Last updated
02/19/2015
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