ILLINOIS BONE AND JOINT INSTITUTE, LLC
NPI 1073916128
Orthopaedic Surgery in Crystal Lake, IL

NPI Status: Active since October 03, 2014

Contact Information

815 COG CIR STE 1
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 526-5980

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  • Organization
  • Orthopaedic Surgery
  • CLIA Number: 14D1029581
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-06-2027

About ILLINOIS BONE AND JOINT INSTITUTE, LLC

This page provides the complete NPI Profile along with additional information for Illinois Bone And Joint Institute, Llc, a provider established in Crystal Lake, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1073916128 assigned on October 2014. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Illinois Bone And Joint Institute, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wayne Goldstein Md (President)

NPI
1073916128
Provider Name
ILLINOIS BONE AND JOINT INSTITUTE, LLC
Entity Type
Organization
Location Address
815 COG CIR STE 1 CRYSTAL LAKE, IL 60014
Location Phone
(815) 526-5980
Mailing Address
900 RAND RD SUITE 300 DES PLAINES, IL 60016
Mailing Phone
(847) 324-3976
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2014
Last Update Date
01-16-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAYNE GOLDSTEIN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 375-3000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1029581
Facility Type
Physician Office
Certificate Effective Date
July 07, 2025
Certificate Expiration Date
July 06, 2027
Laboratory Director
SHERRIE A. WHITE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Illinois Bone And Joint Institute, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073916128, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 1 + 1 + 2 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073916128.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
815 COG CIR STE 1
CRYSTAL LAKE, IL 60014
Physical Therapist
815 COG CIR STE 1
CRYSTAL LAKE, IL 60014
Physical Therapy Assistant
815 COG CIR STE 1
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073916128, enumerated as an "organization" on October 03, 2014.

The provider is located at 815 COG CIR STE 1 CRYSTAL LAKE, IL 60014 and the phone number is (815) 526-5980.

Orthopaedic Surgery with taxonomy code 207X00000X.