Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Illinois Bone and Joint Institute, LLC

Organization Orthopaedic Surgery Physician · NPI 1669004610

Illinois Bone and Joint Institute, LLC is an Orthopaedic Surgery Physician in Bradley, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 S Kennedy Dr Ste 100
Bradley, IL 60915-2685
Phone: (815) 928-8050
Fax: (815) 928-8932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1669004610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayne Goldstein — President · (847) 324-3976
NPI enumeratedFebruary 7, 2020
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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