Illinois Bone and Joint Instit

Organization Active NPI Physical Therapist · Chicago, IL

NPI 1710046065 · NPPES record last updated Feb 25, 2008

Key facts

NPI
1710046065
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ILLINOIS BONE AND JOINT INSTIT
Practice address
4801 W Peterson Ave
Ste 213
Chicago, IL 60646-5713
Phone
(773) 777-4947
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

Name
Wayne M Goldstein, MD
Title
President
Phone
(847) 324-3976

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
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X

Addresses

Primary practice location

4801 W Peterson Ave
Ste 213
Chicago, IL 60646-5713

Mailing address

5057 Paysphere Cir
Chicago, IL 60674-0050

Other providers in Chicago, IL

All providers in Chicago, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.