# REZIN ORTHOPEDIC & SPORTS MEDICINE, SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Care Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386783199
- **Authorized official:** MR. ERIC ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (815) 942-4875

## Contact information

- **Practice address:** 16101 WEBER RD, ADVANCED PHYSICIANS BUILDING, CREST HILL, IL 60435-8812
- **Practice address phone:** (815) 836-2668
- **Practice address fax:** (815) 836-8799
- **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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 01/21/2009