IBJI, LLC (NPI# 1205139177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205139177 |
| Entity Type | Organization |
| Organization Name | IBJI, LLC |
| Practice Address |
720 Florsheim Dr Libertyville IL 60048-3757 |
| Mailing Address |
8930 Waukegan Rd Suite 200 Morton Grove IL 60053-2126 |
| Practice Telephone | 8478160656 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | WAYNE GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 8473243976 |
| 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 |
|---|---|---|---|---|
| 1952614836 | Ibji, LLC | Orthopaedic Surgery | 900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359 | 2010-07-20 |
| 1053577916 | Ibji, LLC | Orthopaedic Surgery | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2008-07-31 |
| Street Address |
720 FLORSHEIM DR |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278191 | Paul Michael Ziemba | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2005-10-10 |
| 1861036519 | Catherine Dinklenburg | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-11-05 |
| 1760043178 | Alyssa Ribaudo | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-06-26 |
| 1326503822 | Sydney Alexa Mella | Specialist/Technologist | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2019-02-08 |
| 1801379383 | Sophia O' Bryan | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2018-09-11 |
| 1972016418 | Matthew Deisinger | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2017-11-07 |
| 1205387552 | Laura Friedrich | Nurse Practitioner | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2016-10-21 |
| 1215321880 | Susan Bolotin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2015-03-23 |
| 1578969929 | Ryan Anderson | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-11-12 |
| 1881008001 | Brittany Herin | Physician Assistant | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| 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 |
|---|---|---|---|---|
| 1740692359 | Robert Kulwin | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2014-05-30 |
| 1104116151 | Brian E Schwartz | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2011-04-12 |
| 1821128984 | Peter John Thadani | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2007-03-07 |
| 1215096581 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-12-06 |
| 1255386785 | Christ Pavlatos | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-05-23 |
| 1841244738 | Burt Schell | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-05-22 |
| 1558314013 | Stanford Tack | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-05-18 |
| 1184675944 | Roger Chams | Orthopaedic Surgery | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-05-15 |
| 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 |
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| City | LIBERTYVILLE |
| Zip Code | 60048 |
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| 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.