Illinois Bone and Joint Institute, LLC

NPI #1366844714 in Kenosha, Wisconsin

Provider Information

NPI Number: 1366844714
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 17, 2014
Last Updated: Mar 27, 2015

Practice Location

Address: 6308 8TH AVE
Address 2: SUITE 2000
City: Kenosha
State: Wisconsin
ZIP Code: 53143-5031
Phone: (262) 656-3590

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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