| NPI | 1962561233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE M GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-08-12 |