Illinois Bone and Joint Institute, LLC
NPI #1184263055 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1184263055
- Entity Type
- Organization
- Organization Name
- Illinois Bone and Joint Institute, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Dec 24, 2019
- Last Updated
- Oct 14, 2022
Practice Location
- Address
- 6712 N CONVENT ST
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1528
- Phone
- (815) 928-8050
Authorized Official
- Name
- WAYNE GOLDSTEIN
- Title
- PRESIDENT
- Phone
- (847) 324-3976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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