Illinois Bone and Joint Institute, LLC
Organization Active NPI Physical Therapist · Libertyville, IL
NPI 1447318878 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1447318878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ILLINOIS BONE AND JOINT INSTITUTE, LLC
- Practice address
- 724 Florsheim Dr
Libertyville, IL 60048-3757 - Phone
- (847) 918-9077
- Fax
- (847) 918-9770
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Wayne M Goldstein, MD
- Title
- President
- Phone
- (847) 324-3976
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930046089 | IL | DME Supplier - Independently-Practicing Physical Therapist |
6002814878 | Practice locations: Libertyville, IL |
National Provider Directory
- Tax ID family
- Il Bone Joint Institute LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
724 Florsheim Dr
Libertyville, IL 60048-3757
Mailing address
900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other providers in Libertyville, IL
- Syeda A. Iftikhar
- Ihc-Libertyville Emergency Physicians, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Compounding Pharmacy Inc
- Illinois Internal Medicine LTD
- Illinois Pain Treatment Institute, LTD
- Sun Ja Im
- Infectious Disease Consultants of Northern Illinois S.C.
All providers in Libertyville, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.