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
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
(815) 942-4875
(815) 942-8349
Mailing address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-3370
(815) 942-4875
(815) 942-8349
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
042007183
IL
208100000X
Physical Medicine & Rehabilitation Physician
042007183
IL
213ES0131X
Foot Surgery Podiatrist
042007183
IL
247100000X
Radiologic Technologist
042007183
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
042007183
IL
363L00000X
Nurse Practitioner
042007183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3200053
BCBS
IL
Enumeration date
08/04/2006
Last updated
08/26/2015
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