OrganizationIllinois Bone And Joint InstitPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave, Ste 213, Chicago, IL 60646-5713(773) 777-4947PECOS EnrollmentBased on the most recent information from CMS, provider Illinois Bone And Joint Instit does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1710046065Provider TypeOrganizationFull NameIllinois Bone And Joint InstitSubpartNoEnumeration Date12/6/2006Last Updated2/25/2008Contact InformationPractice LocationPractice Address4801 W Peterson Ave, Ste 213, Chicago, IL 60646-5713Phone(773) 777-4947FaxUnlisted FaxMailing LocationMailing Address5057 Paysphere Cir, Chicago, IL 60674-0050PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGoldstein, Wayne M (President)Phone(847) 324-3976Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer