Organization
REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Active
Other names
Vital Care Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ANDERSON (ADMINISTRATOR)
(815) 942-4875
Entity
Organization
Contact information
Practice address
16101 WEBER RD, ADVANCED PHYSICIANS BUILDING, CREST HILL, IL 60435-8812
(815) 836-2668
(815) 836-8799
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
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/06/2007
Last updated
01/21/2009
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