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Organization
REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Active
Organization
REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
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
106 E COUNTRYSIDE PKWY, YORKVILLE, IL 60560-1815
(630) 553-8979
(630) 553-3983
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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