ILLINOIS BONE AND JOINT INSTITUTE, LLC (NPI# 1366844714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366844714 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTITUTE, LLC |
| Practice Address |
6308 8th Ave Suite 2000 Kenosha WI 53143-5031 |
| Mailing Address |
900 Rand Rd Suite 300 Des Plaines IL 60016-2359 |
| Practice Telephone | 2626563590 |
| Practice Fax Number | 2626563591 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | WAYNE M GOLDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 8473753000 |
| 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 |
|---|---|---|---|---|
| 1265063648 | Illinois Bone and Joint Institute, LLC | Physical Therapist | 19552 S Harlem Ave Bldg D, Frankfort, IL 60423-6733 | 2020-02-04 |
| 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 |
| 1487202669 | Illinois Bone and Joint Institute, LLC | Physical Therapist | 406 Front St Ste 110, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1457698243 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 521 Green Bay Rd, Suite 100, Wilmette, IL 60091-2726 | 2013-01-14 |
| 1003153891 | Illinois Bone and Joint Institute, LLC | Radiologic Technologist | 350 S Greenleaf St Ste 401, Gurnee, IL 60031-5709 | 2013-01-14 |
| 1275692543 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 101 Waukegan Rd Ste 990, Lake Bluff, IL 60044-1687 | 2006-12-06 |
| 1235298571 | Illinois Bone and Joint Institute, LLC | Occupational Therapist | 2101 Waukegan Rd Ste 108, Bannockburn, IL 60015-1836 | 2006-12-06 |
| 1447318878 | Illinois Bone and Joint Institute, LLC | Occupational Therapist | 724 Florsheim Dr, Libertyville, IL 60048-3757 | 2006-12-05 |
| Street Address |
6308 8TH AVE SUITE 2000 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440851 | Janet S Barney | Nurse Practitioner | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2005-07-08 |
| 1669094165 | Simona Slavinskiene | Nurse Practitioner | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-07 |
| 1366063133 | Lisa Neyens | Pharmacist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-02 |
| 1164056727 | Michael James Church | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-02-23 |
| 1215593009 | Ihc-wound Care Services LLC | Emergency Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2019-05-16 |
| 1609358357 | Samantha M Rhodes | Physical Therapist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2018-08-29 |
| 1063953784 | Megan Roethle | Registered Nurse | 6308 8th Ave, Kenosha, WI 53143-5031 | 2017-03-14 |
| 1043678683 | Sarah Rens | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2016-02-09 |
| 1922472422 | Catherine A Hernandez | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2015-11-20 |
| 1750779856 | Elliot M Simon | Physician Assistant | 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 | 2014-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| 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 |
|---|---|---|---|---|
| 1942526330 | Benjamin Joseph Lasee | Orthopaedic Surgery | 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | 2010-04-11 |
| 1720276066 | Alan A. Hyman, Md | Orthopaedic Surgery | 16140 Horton Rd, Kenosha, WI 53142-7937 | 2007-10-11 |
| 1124182068 | Aftab A Ansari | Orthopaedic Surgery | 3601 30th Ave #104, Kenosha, WI 53144 | 2006-12-21 |
| 1235110255 | Jonathan D Main | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-08 |
| 1750387684 | Alan A. Hyman | Orthopaedic Surgery | 16140 Horton Rd., Kenosha, WI 53142-7937 | 2005-06-24 |
| 1548460082 | Karl B Scheidt Md, Sc | Orthopaedic Surgery | 3601 30th Ave, Kenosha, WI 53144-1695 | 2007-07-23 |
| 1356558464 | Michael Josef Slimack | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-17 |
| 1992812002 | John L Trotter | Orthopaedic Surgery | 10400 75th St, #301, Kenosha, WI 53142 | 2006-08-24 |
| 1447271309 | Branko Prpa | Orthopaedic Surgery | 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 | 2006-07-23 |
| 1922030030 | Thomas S Werbie | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-07-07 |
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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.