Organization
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GOLDSTEIN MD (PRESIDENT)
(847) 375-3000
Entity
Organization
Contact information
Practice address
101 WAUKEGAN RD STE 1100, LAKE BLUFF, IL 60044-3012
(847) 247-2402
(847) 247-2405
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
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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