# REZIN ORTHOPEDICS AND SPORTS MEDICINE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023269289
- **Authorized official:** MR. MICHAEL TOPIELEC (ADMINISTRATOR)
- **Authorized official phone:** (815) 318-5645

## Contact information

- **Practice address:** 329 REMINGTON BLVD, SUITE 200, BOLINGBROOK, IL 60440-5827
- **Practice address phone:** (815) 942-4875
- **Practice address fax:** (815) 942-4875
- **Mailing address:** 1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3349
- **Mailing address phone:** (815) 942-4875
- **Mailing address fax:** (815) 942-5046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042007183 | IL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 042007183 | IL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 042007183 | IL | — |
| 363A00000X | Physician Assistant | 042007183 | IL | — |
| 363L00000X | Nurse Practitioner | 042007183 | IL | — |

## Other

- **Enumeration date:** 10/07/2008
- **Last updated:** 09/10/2012
