Illinois Bone and Joint Institute, LLC

NPI #1962635490 in Gurnee, Illinois

Provider Information

NPI Number: 1962635490
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 1, 2009
Last Updated: Feb 20, 2017

Practice Location

Address: 350 S GREENLEAF ST
Address 2: SUITE 403
City: Gurnee
State: Illinois
ZIP Code: 60031-5709
Phone: (847) 596-7640

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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