Individual
DR. KEITH MICHAEL REZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036076751
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020437
HEALTH ALLIANCE
IL
05
—
036076751
—
IL
01
—
0739010001
MEDICARE NSC
IL
01
—
0739010005
MEDICARE NSC
IL
01
—
0739010006
MEDICARE NSC
IL
01
—
0739010008
MEDICARE NSC
IL
01
—
200011528
RR MEDICARE
IL
01
—
3200053
BCBS
IL
01
—
CL7476
RAILROAD MEDICARE GROUP #
IL
Enumeration date
08/10/2006
Last updated
05/06/2021
Update your record
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