| NPI | 1285270074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |