Illinois Bone and Joint Institute LLC
NPI 1700404738ActiveOrganization· Physical Therapist· Park Ridge, IL
Physical Therapist in Park Ridge, Illinois, registered in NPPES in July 2020. The authorized official on file is Wayne Goldstein, President. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1700404738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2020 |
| Last updated in NPPES | Jul 7, 2020 |
| Certified by provider | Jul 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (IL) |
|---|
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