Active NPI
Illinois Bone and Joint Institute, LLC
- Orthopaedic Surgery Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ILLINOIS BONE AND JOINT INSTITUTE, LLC
- Practice address
- 350 S Greenleaf St
Ste 405
Gurnee, IL 60031-5709 - Phone
- (847) 336-3335
- NPI assigned
- Dec 6, 2006
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne M Goldstein, MD
- Title
- President
- Phone
- (847) 324-3976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU |
Addresses
Primary practice location
350 S Greenleaf St
Ste 405
Gurnee, IL 60031-5709
Mailing address
250 S Northwest Hwy Ste 200
Park Ridge, IL 60068-4252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080771 | IL | DME Supplier - Multi-Specialty - Physician | 6002814878 |
1 other NPI on this enrollment Practice locations: Gurnee, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1477507127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1780743054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S NORTHWEST HWY STE 200",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S GREENLEAF ST",
"address_2": "STE 405",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315709",
"telephone_number": "847-336-3335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS BONE AND JOINT INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-324-3976",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
- Charisse Hudson-Quigley, M.D.
- Steven Hullana
- Ashley Hutchinson Tluczek, LCSW
- Amber Ijaz, D.O.
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Pain Specialists, LLC
- Illinois Skilled Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.