| NPI | 1598823924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-08-12 |