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Illinois Bone and Joint Institute, LLC

Organization Active NPI Physical Therapist · Bannockburn, IL

NPI 1548780422 · NPPES record last updated Jun 22, 2017

Key facts

NPI
1548780422
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Practice address
2101 Waukegan Rd Ste 108
Bannockburn, IL 60015-1836
Phone
(847) 914-0544
Fax
(847) 914-0547
NPI assigned
Jun 22, 2017
Organization subpart
No

Authorized official

Name
Wayne Goldstein, MD
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
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes

Addresses

Primary practice location

2101 Waukegan Rd Ste 108
Bannockburn, IL 60015-1836

Mailing address

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

Other providers in Bannockburn, IL

All providers in Bannockburn, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.