ILLINOIS BONE AND JOINT INSTITUTE,LLC (NPI# 1801955158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801955158 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BONE AND JOINT INSTITUTE,LLC |
| Practice Address |
4801 W Peterson Ave Ste 314 Chicago IL 60646-5713 |
| Mailing Address |
5057 Paysphere Cir Chicago IL 60674-0050 |
| Practice Telephone | 7737779900 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-08-12 |
| 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 |
|---|---|---|---|---|
| 1679632921 | Illinois Bone and Joint Institute,llc | Orthopaedic Surgery | 205 W Randolph St, Fl 7, Chicago, IL 60606-1867 | 2006-12-06 |
| 1740349091 | Illinois Bone and Joint Institute,llc | Orthopaedic Surgery | 2923 N California Ave, Suite 300, Chicago, IL 60618-7702 | 2006-12-06 |
| 1558420802 | Illinois Bone and Joint Institute,llc | Orthopaedic Surgery | 47 W Polk St, Ste G1, Chicago, IL 60605-2000 | 2006-12-06 |
| 1003975350 | Illinois Bone and Joint Institute,llc | Orthopaedic Surgery | 2923 N California Ave, Suite 301, Chicago, IL 60618-7702 | 2006-12-06 |
| Street Address |
4801 W PETERSON AVE STE 314 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667315 | Barry M Leavitt | Psychologist | 4801 W Peterson Ave, Ste 525, Chicago, IL 60646 | 2005-05-24 |
| 1790229441 | Valerie Deutsch | Behavioral Analyst | 4801 W Peterson Ave, Suite 512, Chicago, IL 60646-5713 | 2016-12-15 |
| 1730623729 | A Dragonfly Mind, LLC | Clinical Neuropsychologist | 4801 W Peterson Ave, Suite 301, Chicago, IL 60646-5726 | 2016-12-09 |
| 1760938260 | Catherine Bogacki | Social Worker | 4801 W Peterson Ave, Suite 308, Chicago, IL 60646-5713 | 2016-08-25 |
| 1841662434 | Paul Robert Muhr | Dentist | 4801 W Peterson Ave, Suite 407, Chicago, IL 60646-5713 | 2015-10-22 |
| 1548631245 | Amy Derusha | Behavioral Analyst | 4801 W Peterson Ave, 512, Chicago, IL 60646-5713 | 2015-10-07 |
| 1063818813 | Amalia Pepek | Nurse Practitioner | 4801 W Peterson Ave, Suite 506, Chicago, IL 60646-5713 | 2014-11-06 |
| 1689089286 | Roxanne Gayle | Behavioral Analyst | 4801 W Peterson Ave, #512, Chicago, IL 60646-5713 | 2014-06-23 |
| 1982018461 | Superior Rehab Center LLC | Physical Therapist | 4801 W Peterson Ave, 615, Chicago, IL 60646-5713 | 2014-06-12 |
| 1720415367 | Frank J Gutierrez | Counselor | 4801 W Peterson Ave, Suite 403, Chicago, IL 60646 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| 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 |
|---|---|---|---|---|
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1639697485 | Jason Alexander Strelzow | Orthopaedic Surgery | 5841 S Maryland Ave Rm S256, Chicago, IL 60637-1443 | 2017-08-31 |
| 1750732277 | Ian Maclean | Orthopaedic Surgery | 1650 W. Harrison St Suite 466 Atrium, Chicago, IL 60612 | 2016-06-27 |
| 1285084046 | South Chicago Orthopedic Specialists, Sc | Orthopaedic Surgery | 1701 W Monterey Ave Ste 4, Chicago, IL 60643-4257 | 2016-06-13 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1104231059 | David Crandall Hirsch | Orthopaedic Surgery | 5841 S Maryland Ave # 3078, Chicago, IL 60637-1443 | 2014-06-29 |
| 1649684945 | Clarabelle Adelaide Devries | Orthopaedic Surgery | 5758 S Maryland Ave Dept 4b, Chicago, IL 60637-1426 | 2014-06-13 |
| 1346651551 | Matthew Caid | Orthopaedic Surgery | 2316 W Belden Ave, Chicago, IL 60647-3266 | 2014-05-12 |
| 1790104396 | Peter Garas | Orthopaedic Surgery | 5841 S Maryland Ave # 3079, Chicago, IL 60637-1443 | 2014-04-10 |
| 1942628730 | Michael Mccarthy | Orthopaedic Surgery | 676 N Saint Clair St Ste 1350, Chicago, IL 60611-4795 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
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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.