# 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:** 1992844856
- **Authorized official:** MR. ERIC ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (815) 942-4875

## Contact information

- **Practice address:** 1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
- **Practice address phone:** (815) 786-1517
- **Practice address fax:** (815) 786-1782
- **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 |
| 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