NPIMap

Organization Active NPI

Rezin Orthopedic & Sports Medicine, SC

  • Orthopaedic Surgery Physician
  • Crest Hill, IL
National Provider Identifier
1386783199
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Practice address
16101 Weber Rd
Advanced Physicians Building
Crest Hill, IL 60435-8812
Phone
(815) 836-2668
Fax
(815) 836-8799
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Anderson
Title
Administrator
Phone
(815) 942-4875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

16101 Weber Rd
Advanced Physicians Building
Crest Hill, IL 60435-8812

Mailing address

1051 W US Route 6
Suite 100
Morris, IL 60450-3349
Phone (815) 942-4875

Other names 1

  • Vital Care Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rezin Ctr for Orthopedi16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1386783199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6",
            "address_2": "SUITE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503349",
            "telephone_number": "815-942-4875",
            "fax_number": "815-942-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 WEBER RD",
            "address_2": "ADVANCED PHYSICIANS BUILDING",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604358812",
            "telephone_number": "815-836-2668",
            "fax_number": "815-836-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN ORTHOPEDIC & SPORTS MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-942-4875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.