Illinois Bone and Joint Institute, LLC

NPI #1922551548 in Highland Park, Illinois

Provider Information

NPI Number: 1922551548
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2016
Last Updated: Aug 1, 2016

Practice Location

Address: 1630 OLD DEERFIELD RD
Address 2: SUITE 106
City: Highland Park
State: Illinois
ZIP Code: 60035-3027
Phone: (847) 579-9348

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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