ILLINOIS BONE AND JOINT INSTITUTE LLC
NPI 1689288128
Orthopaedic Surgery in Hinsdale, IL

Active since September 02, 2020CLIA 14D2033866 · Waiver
550 W OGDEN AVE, HINSDALE, IL 60521(630) 323-6116(630) 323-6169 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Illinois Bone And Joint Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS BONE AND JOINT INSTITUTE LLC (NPI 1689288128) is a healthcare organization registered as an orthopaedic surgery in Hinsdale, Illinois and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Wayne Goldstein, President, as its authorized official.

NPPES Registry Identity

NPI1689288128
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameILLINOIS BONE AND JOINT INSTITUTE LLC
Location Address550 W OGDEN AVEHinsdale, IL 60521-3186
Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976 · Fax (847) 929-1154
Fax(630) 323-6169
Organization SubpartNo
Authorized OfficialWayne GoldsteinPresident · (847) 324-3976
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1689288128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
550 W OGDEN AVE, Hinsdale, IL 60521

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Bone And Joint Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20200925002186DME · Physician - Orthopedic/Orthopedic SurgeryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2033866

Illinois Bone & Joint Institute · Westmont, IL
Active · expires Jan 28, 2028
CLIA Number14D2033866
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMarie Kirincic
Laboratory Phone(630) 323-6116
Laboratory LocationIllinois Bone & Joint Institute1010 Executive Ct, Westmont, IL 60559
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE
HINSDALE, IL 60521
Physician Assistant
550 W OGDEN AVE
HINSDALE, IL 60521
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
550 W OGDEN AVE
HINSDALE, IL 60521
Physician Assistant
550 W OGDEN AVE
HINSDALE, IL 60521
Physical Medicine & Rehabilitation
550 W OGDEN AVE
HINSDALE, IL 60521
Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE, SUITE 220
HINSDALE, IL 60521
Physician Assistant (Surgical)
550 W OGDEN AVE
HINSDALE, IL 60521
Specialist/Technologist (Athletic Trainer)
550 W OGDEN AVE
HINSDALE, IL 60521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Bone And Joint Institute LLC's NPI number?

The NPI number for Illinois Bone And Joint Institute LLC is 1689288128. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Illinois Bone And Joint Institute LLC located?

Illinois Bone And Joint Institute LLC is located at 550 W Ogden Ave, Hinsdale, IL 60521. The listed phone number is (630) 323-6116.

What is Illinois Bone And Joint Institute LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Illinois Bone And Joint Institute LLC enrolled in Medicare?

Yes. Illinois Bone And Joint Institute LLC is registered in the Medicare PECOS enrollment system.

When is Illinois Bone And Joint Institute LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Illinois Bone And Joint Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2033866) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illinois Bone And Joint Institute LLC was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.