Illinois Bone and Joint Institute LLC

NPI #1629670617 in Wauconda, Illinois

Provider Information

NPI Number: 1629670617
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 13, 2020
Last Updated: Nov 13, 2020

Practice Location

Address: 363 N MAIN ST STE A
City: Wauconda
State: Illinois
ZIP Code: 60084-3036
Phone: (847) 487-0290

Authorized Official

Name: WAYNE GOLDSTEIN
Title: PRESIDENT
Phone: (847) 324-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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