# RX PAIN MANAGEMENT GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154334779
- **Authorized official:** MS. YAN DENG (MANAGER)
- **Authorized official phone:** (773) 247-2131

## Contact information

- **Practice address:** 3405 S HALSTED STREET, CHICAGO, IL 60608-6707
- **Practice address phone:** (773) 247-2131
- **Practice address fax:** (773) 247-3110
- **Mailing address:** 3405 S HALSTED STREET, CHICAGO, IL 60608-6707
- **Mailing address phone:** (773) 247-2131
- **Mailing address fax:** (773) 247-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | 036088691 | IL | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 036088691 | IL | — |
| 208VP0000X | Pain Medicine Physician | 036088691 | IL | — |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/11/2016