REZIN ORTHOPEDIC AND SPORTS MEDICINE (NPI# 1285773051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285773051 |
| Entity Type | Organization |
| Organization Name | REZIN ORTHOPEDIC AND SPORTS MEDICINE |
| Other Organization Name | VITAL CARE PHYSICAL THERAPY |
| Practice Address |
15728 S Route 59 Within Village Medical Center Plainfield IL 60544-2693 |
| Mailing Address |
1051 W Us Route 6 Suite 100 Morris IL 60450-3349 |
| Practice Telephone | 8155771119 |
| Practice Fax Number | 8152546670 |
| Mailing Telephone | 8159424875 |
| Mailing Fax Number | 8159425046 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MR. ERIC ANDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8159424875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vital Care Physical Therapy | Doing Business As Name - Organization |
| Street Address |
15728 S ROUTE 59 WITHIN VILLAGE MEDICAL CENTER |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545024 | Donald Williams | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2006-12-18 |
| 1275056418 | Leigh Agombar | Physician Assistant | 15728 S Route 59, Plainfield, IL 60544-2693 | 2017-07-19 |
| 1306206305 | Maria Elena Gallegos | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2016-03-03 |
| 1700031804 | Darlene P Peters | Nurse Practitioner | 15728 S Route 59, Plainfield, IL 60544-2693 | 2008-11-18 |
| 1710179544 | Kristin Marie Bulkley | Nutritionist | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-08-15 |
| 1174730659 | Gregory C Adams | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-05-16 |
| 1023157617 | Rezin Orthopedics and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 15728 S Route 59, Building 142, Plainfield, IL 60544-2693 | 2007-02-06 |
| 1174673826 | Corwin Medical Care Ltd | Clinic/Center | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-12 |
| 1013066257 | Wimol Ann Mitrakul | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| 1588713374 | Bruce C Corwin | Family Medicine | 15728 S Route 59, Plainfield, IL 60544-2693 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780885343 | Midwest Sports Medicine Institute | Orthopaedic Surgery | 24600 W 127th St Bldg B Suite 240, Plainfield, IL 60585-9502 | 2007-05-30 |
| 1508875048 | David Michael Burt | Orthopaedic Surgery | 24600 W 127th St, Building B, Suite 240, Plainfield, IL 60585-9507 | 2006-08-05 |
| 1447269915 | Raghu R Pulluru | Orthopaedic Surgery | 24600 W 127th St, Suite 225, Plainfield, IL 60585-9507 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.