# REZIN ORTHOPEDIC & SPORTS MEDICINE, SC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
- **Other names:** Vital Care Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902311921
- **Legal business name:** REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
- **Authorized official:** MICHAEL TOPIELEC (ADMINISTRATOR)
- **Authorized official phone:** (815) 942-4875

## Contact information

- **Practice address:** 1051 W US ROUTE 6 STE 400, MORRIS, IL 60450-3370
- **Practice address phone:** (815) 942-8301
- **Practice address fax:** (815) 942-8449
- **Mailing address:** 1051 W US ROUTE 6 STE 100, MORRIS, IL 60450-3370
- **Mailing address phone:** (815) 942-4875
- **Mailing address fax:** (815) 942-5046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 042007183 | IL | Yes |
| 224Z00000X | Occupational Therapy Assistant | 042007183 | IL | — |
| 225100000X | Physical Therapist | 042007183 | IL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 042007183 | IL | — |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 06/16/2018