# INTEGRATED PAIN MANAGEMENT SC

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

## Provider details

- **NPI number:** 1326380072
- **Authorized official:** TIAN XIA D.O (CEO)
- **Authorized official phone:** (312) 842-4588

## Contact information

- **Practice address:** 3405 S HALSTED ST, CHICAGO, IL 60608-6707
- **Practice address phone:** (773) 247-2131
- **Practice address fax:** (773) 247-3110
- **Mailing address:** 244 E ROOSEVELT RD, LOMBARD, IL 60148-4647
- **Mailing address phone:** (312) 842-4588
- **Mailing address fax:** (630) 495-7255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 05/16/2024