Active NPI
Illinois Bone and Joint Instit
- Orthopaedic Surgery Physician
- Chicago, IL
National Provider Identifier
1356400600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ILLINOIS BONE AND JOINT INSTIT
- Practice address
- 680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546 - Phone
- (312) 664-6848
- NPI assigned
- Dec 6, 2006
- Last updated
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne M Goldstein, MD
- Title
- President
- Phone
- (847) 324-3976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546
Mailing address
5057 Paysphere Cir
Chicago, IL 60674-0050
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1477507127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1356400600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5057 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-664-6848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS BONE AND JOINT INSTIT",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-324-3976",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Illinois Allergy Asthma & Sinus Center Inc
- Illinois Anesthesia Specialists LLC
- Illinois Applied Behavior Analysis LLC
- Illinois Autism Center LLC
- Illinois Birdie Health PC
- Illinois Bone and Joint Instit
- Illinois Bone and Joint Institute LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.