Illinois Bone and Joint Institute, LLC
NPI 1962635490ActiveOrganization· Physical Therapist· Gurnee, IL
Physical Therapist in Gurnee, Illinois, registered in NPPES in September 2009. The authorized official on file is Wayne Goldstein, MD, President. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1962635490 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2009 |
| Last updated in NPPES | Feb 20, 2017 |
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 - Multi-Specialty - Physician (IL) |
|---|
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