Illinois Bone and Joint Institute LLC
Organization Active NPI Orthopaedic Surgery Physician · Hinsdale, IL
NPI 1689288128 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1689288128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ILLINOIS BONE AND JOINT INSTITUTE LLC
- Practice address
- 550 W Ogden Ave
Hinsdale, IL 60521-3186 - Phone
- (630) 323-6116
- Fax
- (630) 323-6169
- NPI assigned
- Sep 2, 2020
- 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 |
|---|---|---|---|---|
| O20200925002186 | IL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 6002814878 | Practice locations: Hinsdale, IL |
National Provider Directory
- Tax ID family
- Il Bone Joint Institute LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
550 W Ogden Ave
Hinsdale, IL 60521-3186
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other providers in Hinsdale, IL
- Dalyn Huveldt
- Dorothy R. Ibarra
- Akram E Ibrahim
- Jill Ann Ibrahim
- Illinois Bone and Joint Institute LLC
- Illinois Cancer Specialists
- Illinois Physician Services LTD
- Illinois Post-Acute Medical Services 1 PC
- Industrial Optical Service, Inc.
- Infinity Yoga LLC
All providers in Hinsdale, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. 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.