# REZIN ORTHOPEDICS AND SPORTS MEDICINE, SC

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

## Provider details

- **NPI number:** 1699783787
- **Authorized official:** MR. MICHAEL TOPIELEC (ADMINISTRATOR)
- **Authorized official phone:** (815) 318-5645

## Contact information

- **Practice address:** 1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
- **Practice address phone:** (815) 942-4875
- **Practice address fax:** (815) 942-8349
- **Mailing address:** 1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
- **Mailing address phone:** (815) 942-4875
- **Mailing address fax:** (815) 942-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042007183 | IL | Yes |
| 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

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3200053 | BCBS | IL |