ILLINOIS BONE AND JOINT INSTIT (NPI# 1144389412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144389412 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTIT |
| Practice Address |
800 Austin St East Tower, Suite 357 Evanston IL 60202-3439 |
| Mailing Address |
5057 Paysphere Cir Chicago IL 60674-0050 |
| Practice Telephone | 8478697233 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | WAYNE M GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 8473243976 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437218781 | Illinois Bone and Joint Instit | Physical Therapist | 150 N River Rd, Ste 100, Des Plaines, IL 60016-1272 | 2006-12-06 |
| 1710046065 | Illinois Bone and Joint Instit | Occupational Therapist | 4801 W Peterson Ave, Ste 213, Chicago, IL 60646-5713 | 2006-12-06 |
| 1356400600 | Illinois Bone and Joint Instit | Internal Medicine | 680 N Lake Shore Dr, Suite 1028, Chicago, IL 60611-4546 | 2006-12-06 |
| Street Address |
800 AUSTIN ST EAST TOWER, SUITE 357 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506665 | Thomas J Campbell | Internal Medicine | 800 Austin St, Ste 451e, Evanston, IL 60202-3455 | 2005-05-27 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| 1467949594 | Hazel H Almores | Nurse Practitioner | 800 Austin St, East Tower, Ste 360, Evanston, IL 60202 | 2018-04-14 |
| 1073043469 | Envision Mobile Imaging, LLC | Clinic/Center | 800 Austin St, Evanston, IL 60202-3439 | 2017-06-18 |
| 1407209265 | Czamira Alba | Nurse Practitioner | 800 Austin St, Ste 369, Evanston, IL 60202-3439 | 2016-07-18 |
| 1396103230 | Gnogno Md Visiting Physician Group Inc. | Internal Medicine | 800 Austin St, 269e, Evanston, IL 60202-3439 | 2016-02-07 |
| 1255706131 | Presence Chicago Hospitals Network | Internal Medicine | 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 | 2015-12-03 |
| 1730566779 | Sonam Shokso | Nurse Practitioner | 800 Austin St, Suite 269, Evanston, IL 60202-3439 | 2015-04-29 |
| 1235574237 | Anshu Gupta, Md, P.C. | Internal Medicine | 800 Austin St, Suite 607, West Tower, Evanston, IL 60202-3439 | 2013-05-03 |
| 1447508874 | Mohamad Albsheri | Student in an Organized Health Care Education/Training Program | 800 Austin St, Evanston, IL 60202-3439 | 2012-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932331055 | Robert A Stone | Orthopaedic Surgery | 1555 Sherman Ave # 142, Evanston, IL 60201-4421 | 2009-08-24 |
| 1649531203 | Denis Burke Drennan | Orthopaedic Surgery | 800 Austin St, Evanston, IL 60202-3439 | 2012-05-30 |
| 1992728968 | Rima M Nasser | Orthopaedic Surgery | 1000 Central St, Suite 880, Evanston, IL 60201-1777 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.