ILLINOIS BONE AND JOINT INSTITUTE, LLC (NPI# 1073916128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073916128 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTITUTE, LLC |
| Practice Address |
815 Cog Cir Ste 1 Crystal Lake IL 60014-7302 |
| Mailing Address |
900 Rand Rd Suite 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 8155265980 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | WAYNE GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 8473753000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063648 | Illinois Bone and Joint Institute, LLC | Physical Therapist | 19552 S Harlem Ave Bldg D, Frankfort, IL 60423-6733 | 2020-02-04 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1487202669 | Illinois Bone and Joint Institute, LLC | Physical Therapist | 406 Front St Ste 110, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1457698243 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 521 Green Bay Rd, Suite 100, Wilmette, IL 60091-2726 | 2013-01-14 |
| 1003153891 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 350 S Greenleaf St Ste 401, Gurnee, IL 60031-5709 | 2013-01-14 |
| 1275692543 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 101 Waukegan Rd Ste 990, Lake Bluff, IL 60044-1687 | 2006-12-06 |
| 1235298571 | Illinois Bone and Joint Institute, LLC | Occupational Therapist | 2101 Waukegan Rd Ste 108, Bannockburn, IL 60015-1836 | 2006-12-06 |
| 1447318878 | Illinois Bone and Joint Institute, LLC | Occupational Therapist | 724 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-12-05 |
| Street Address |
815 COG CIR STE 1 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154581544 | Monica Backes | Physical Therapist | 815 Cog Cir Ste 1, Crystal Lake, IL 60014-7302 | 2008-06-10 |
| 1982216685 | Jason Bishop | Physical Therapy Assistant | 815 Cog Cir Ste 1, Crystal Lake, IL 60014-7302 | 2020-08-24 |
| 1750938668 | Preksha Maiya | Physical Therapist | 815 Cog Cir Ste 1, Crystal Lake, IL 60014-7302 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528487436 | Michael Christopher Ciccotti | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012-3709 | 2014-04-08 |
| 1174790463 | James Anthony Krcik | Orthopaedic Surgery | 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 | 2008-05-15 |
| 1922292663 | Mchenry County Orthopaedics, S.c. | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012-3711 | 2007-09-05 |
| 1568534147 | Matthew I Samuelson | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012-3711 | 2006-11-15 |
| 1124190723 | Timothy G Havenhill | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012 | 2006-11-15 |
| 1821160516 | Robert T Nixon Jr. | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012 | 2006-11-15 |
| 1407928062 | William D. Cox Jr. | Orthopaedic Surgery | 420 N Il Route 31, Crystal Lake, IL 60012 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on ILLINOIS BONE AND JOINT INSTITUTE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.