NPIMap

Illinois Bone and Joint Institue, LLC

Organization Active NPI Orthopaedic Surgery Physician · Lake Bluff, IL

NPI 1497276612 · NPPES record last updated Jun 28, 2017

Key facts

NPI
1497276612
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ILLINOIS BONE AND JOINT INSTITUE, LLC
Practice address
101 Waukegan Rd Ste 990
Lake Bluff, IL 60044-1687
Phone
(847) 324-3976
NPI assigned
Jun 28, 2017
Organization subpart
No

Authorized official

Name
Wayne Goldstein
Title
President
Phone
(847) 375-3000

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Il Bone Joint Institute LLC (83 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

101 Waukegan Rd Ste 990
Lake Bluff, IL 60044-1687

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Other providers in Lake Bluff, IL

All providers in Lake Bluff, IL · Orthopaedic Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.