Illinois Bone and Joint Institute LLC

NPI #1790303725 in Fox River Grove, Illinois

Provider Information

NPI Number: 1790303725
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 7, 2020
Last Updated: Jul 7, 2020

Practice Location

Address: 1009 IL ROUTE 22 STE 2
City: Fox River Grove
State: Illinois
ZIP Code: 60021-1998
Phone: (847) 842-9366

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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