Illinois Bone and Joint Institute, LLC

NPI #1659430924 in Morton Grove, Illinois

Provider Information

NPI Number: 1659430924
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 6, 2006
Last Updated: Feb 19, 2015

Practice Location

Address: 9000 WAUKEGAN RD
Address 2: STE 100
City: Morton Grove
State: Illinois
ZIP Code: 60053-2127
Phone: (847) 779-6050

Authorized Official

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

Specialties & Taxonomy Codes

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

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