Illinois Bone and Joint Institute, LLC

NPI #1073916128 in Crystal Lake, Illinois

Provider Information

NPI Number: 1073916128
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 3, 2014
Last Updated: Jan 16, 2019

Practice Location

Address: 815 COG CIR STE 1
City: Crystal Lake
State: Illinois
ZIP Code: 60014-7302
Phone: (815) 526-5980

Authorized Official

Name: WAYNE GOLDSTEIN, MD
Title: PRESIDENT
Phone: (847) 375-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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