Illinois Bone and Joint Institute LLC

NPI #1710504006 in New Lenox, Illinois

Provider Information

NPI Number: 1710504006
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 2, 2020
Last Updated: Jul 2, 2020

Practice Location

Address: 1870 SILVER CROSS BLVD STE 200B
City: New Lenox
State: Illinois
ZIP Code: 60451-8646
Phone: (815) 463-5324

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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