| NPI | 1356400600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-02-25 |