Illinois Bone and Joint Institute, LLC

NPI #1932625696 in Lake Bluff, Illinois

Provider Information

NPI Number: 1932625696
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 15, 2017
Last Updated: Aug 15, 2017

Practice Location

Address: 101 WAUKEGAN RD STE 1100
City: Lake Bluff
State: Illinois
ZIP Code: 60044-3012
Phone: (847) 247-2402

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapist	225100000X	Primary

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