ILLINOIS BONE AND JOINT INSTITUTE, LLC (NPI# 1457698243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457698243 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTITUTE, LLC |
| Practice Address |
521 Green Bay Rd Suite 100 Wilmette IL 60091-2726 |
| Mailing Address |
900 Rand Rd Suite 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 8478321460 |
| Practice Fax Number | 8478321467 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| 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 |
| 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 |
| 1669004610 | Illinois Bone and Joint Institute, LLC | Occupational Therapist | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2020-02-07 |
| Street Address |
521 GREEN BAY RD SUITE 100 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606252 | Nolan Witry | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2020-07-22 |
| 1922641422 | Benjamin Detzner | Physical Therapy Assistant | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2019-10-28 |
| 1619520715 | Kathryn Caneda | Physical Therapy Assistant | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2019-07-18 |
| 1225694235 | Kathleen Drazba | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2019-05-15 |
| 1114581402 | Brian Mills | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2019-04-23 |
| 1417445859 | Morgan Steinberg | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2018-05-01 |
| 1912437237 | Alexandra Gusdorf | Physical Therapy Assistant | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2017-06-19 |
| 1831643295 | Brittany Farmer | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2016-08-15 |
| 1760830871 | Caralyn Debash | Physical Therapist | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2016-05-31 |
| 1316337561 | Abby Arado | Physical Therapy Assistant | 521 Green Bay Rd, Wilmette, IL 60091-2726 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| 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 |
| 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 |
| 1386981173 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 716 Florsheim Dr, Libertyville, IL 60048-3757 | 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 | ||||
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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.