Illinois Bone and Joint Institute LLC

NPI #1962020990 in Park Ridge, Illinois

Provider Information

NPI Number: 1962020990
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2020
Last Updated: Aug 14, 2023

Practice Location

Address: 250 S NORTHWEST HWY STE 204
City: Park Ridge
State: Illinois
ZIP Code: 60068-4237
Phone: (773) 631-4112

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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