ILLINOIS BONE AND JOINT INSTITUTE, LLC (NPI# 1386981173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386981173 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTITUTE, LLC |
| Practice Address |
716 Florsheim Dr Libertyville IL 60048-3757 |
| Mailing Address |
900 Rand Rd Suite 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 8473624483 |
| Practice Fax Number | 8473624920 |
| Mailing Telephone | (847) 324-3976 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2017-06-20 |
| 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 | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| 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 |
716 FLORSHEIM DR |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205804895 | Richard G Noelte | Specialist/Technologist | 716 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-03-09 |
| 1487918298 | Molli Beard | Physical Therapist | 716 Florsheim Dr, Libertyville, IL 60048 | 2012-06-26 |
| 1598048050 | Nicole Amsberry | Physical Therapy Assistant | 716 Florsheim Dr, Libertyville, IL 60048-3757 | 2011-09-21 |
| 1972543171 | Tara Banick | Physical Therapist | 716 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-06-07 |
| 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 | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790145597 | Julie Wadhams | Radiologic Technologist | 108 Country Club Ct, Danville, IL 61832-1219 | 2016-03-07 |
| 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 |
| 1629382304 | Mahmoud Yassin | Radiologic Technologist | 11034 Granite Dr, Mokena, IL 60448-1072 | 2010-08-05 |
| 1659606861 | Donna Marie Mckittrick | Radiologic Technologist | Rr 1 Box 27, Herrick, IL 62431-9404 | 2009-10-05 |
| 1013967710 | Alpha Medical Imaging, LLC | Radiologic Technologist | 11 N Roselle Rd, Roselle, IL 60172-1581 | 2006-05-11 |
| 1871926568 | Rockford Orthopedic Associates, Ltd. | Radiologic Technologist | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2013-08-16 |
| 1831436625 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 2101 Waukegan Rd, Suite 108, Bannockburn, IL 60015-1836 | 2013-01-14 |
| 1942547799 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 900 Rand Rd, Suite 100, Des Plaines, IL 60016-2359 | 2013-01-14 |
| 1679624571 | Apollo Mri Inc | Radiologic Technologist | 3633 W Lake Ave, Suite Ll7, Glenview, IL 60026-5805 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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.