Illinois Bone and Joint Institute, LLC

NPI #1962561233 in Glenview, Illinois

Provider Information

NPI Number: 1962561233
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Dec 6, 2006
Last Updated: Aug 12, 2011

Practice Location

Address: 2401 RAVINE WAY
Address 2: STE 200
City: Glenview
State: Illinois
ZIP Code: 60025-7645
Phone: (847) 998-5680

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Internal Medicine - Sports Medicine — Sports Medicine	207RS0010X
Podiatrist	213E00000X
Orthopaedic Surgery	207X00000X	Primary

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