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
329 REMINGTON BLVD, SUITE 200, BOLINGBROOK, IL 60440-5827
(815) 942-4875
(815) 942-4875
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
042007183
IL
208100000X
Physical Medicine & Rehabilitation Physician
042007183
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
042007183
IL
363A00000X
Physician Assistant
042007183
IL
363L00000X
Nurse Practitioner
042007183
IL
Other
Enumeration date
10/07/2008
Last updated
09/10/2012
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