Illinois Bone and Joint Institute LLC
Organization Active NPI Physical Therapist · Frankfort, IL
NPI 1487307336 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1487307336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ILLINOIS BONE AND JOINT INSTITUTE LLC
- Practice address
- 19558 S Harlem Ave Unit C4
Frankfort, IL 60423-6742 - Phone
- (815) 806-0019
- Fax
- (779) 254-2927
- NPI assigned
- Feb 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Wayne Goldstein
- 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 |
|---|---|---|---|---|
| O20220311001300 | IL | DME Supplier - Independently-Practicing Physical Therapist |
6002814878 | Practice locations: Frankfort, IL |
National Provider Directory
- Tax ID family
- Il Bone Joint Institute LLC
Locations
19558 S Harlem Ave
Unit C4
Frankfort, IL 60423
Phone (815) 806-0019
19558 S Harlem Ave
Frankfort, IL 60423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
19558 S Harlem Ave Unit C4
Frankfort, IL 60423-6742
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other providers in Frankfort, IL
- Leah Huizinga
- Jamie Susan Humphreys
- Erin Renee Hurley
- Icareucan
- Illinois Anesthesia and Pain Associates SC
- Illinois Bone and Joint Institute, LLC
- Illinois Foot and Ankle Center, S.C.
- Illinois Mentor Community Services, Inc
- In Home Health LLC
- In Home Health, LLC
All providers in Frankfort, 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 Feb 1, 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.