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Organization
REZIN ORTHOPEDICS AND SPORTS MEDICINE, SC
Active
Organization
REZIN ORTHOPEDICS AND SPORTS MEDICINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TOPIELEC (ADMINISTRATOR)
(815) 318-5645
Entity
Organization
Contact information
Practice address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
(815) 942-4875
(815) 942-8349
Mailing address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
(815) 942-4875
(815) 942-8349
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042007183
IL
208100000X
Physical Medicine & Rehabilitation Physician
042007183
IL
213ES0131X
Foot Surgery Podiatrist
042007183
IL
247100000X
Radiologic Technologist
042007183
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
042007183
IL
363L00000X
Nurse Practitioner
042007183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3200053
BCBS
IL
Enumeration date
08/04/2006
Last updated
08/26/2015
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