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Organization
REZIN ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization
REZIN ORTHOPEDIC AND SPORTS MEDICINE
Active
Other names
Vital Care Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ANDERSON (ADMINISTRATOR)
(815) 942-4875
Entity
Organization
Contact information
Practice address
15728 S ROUTE 59, WITHIN VILLAGE MEDICAL CENTER, PLAINFIELD, IL 60544-2693
(815) 577-1119
(815) 254-6670
Mailing address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3349
(815) 942-4875
(815) 942-5046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/06/2007
Last updated
01/21/2009
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