Illinois Bone and Joint Institute, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ILLINOIS BONE AND JOINT INSTITUTE, LLC

Practice address

28156 W Northpointe Pkwy
Suite 225
Lake Barrington, IL 60010-2346

Phone

(224) 512-9800

Fax

(224) 512-9714

NPI assigned

Oct 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wayne Goldstein, MD

Title

President

Phone

(847) 324-3976

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1992255053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28156 W NORTHPOINTE PKWY",
            "address_2": "SUITE 225",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102346",
            "telephone_number": "224-512-9800",
            "fax_number": "224-512-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS BONE AND JOINT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-324-3976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Daniel Houlihan, D.O.
• James David Hursey
• Il Vein Specialists, LTD.
• Shahid B. Ilahi, M.D.
• Illinois Bone and Joint Institute, LLC
• Lisa R. Jackson, N.P.
• Ambili Mariam Jacob
• Jill S Jacobek, R.PH.
• William Joseph Jedlicka, PHD
• Carolyn Lee Johnson, WHNP, APN

• Orthopaedic Surgery Physician in Lake Barrington, IL
• Providers in Lake Barrington, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.