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NPI Code Detail

MEDICARE: REZIN ORTHOPEDIC & SPORTS MEDICINE, SC

MEDICARE: REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesIL

General Provider Information

NPI Number : 1225177827
Entity Type Code : Organization
Provider Name (Legal Business Name) : REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Provider Business Mailing Address
First Line : 1051 W US ROUTE 6
Second Line : SUITE 100
City : MORRIS
State : IL
Zip : 60450-3349
Country : US
Telephone Number : 815-942-4875
Fax Number : 815-942-5046
Provider Business Practice Location Address
First Line : 24024 BRANCASTER DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8044
Country : US
Telephone Number : 630-961-5062
Fax Number : 630-961-5276
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ERIC ANDERSON
Credential :
Telephone Number : 815-942-4875
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/22/2020

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Directions to “REZIN ORTHOPEDIC & SPORTS MEDICINE, SC ” Practice Location

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