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Organization
INTEGRATED PAIN MANAGEMENT-SOUTH SHORE
Active
Organization
INTEGRATED PAIN MANAGEMENT-SOUTH SHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIAN XIA D.O. (PHYSICIAN)
(630) 629-6298
Entity
Organization
Contact information
Practice address
7141 S. JEFFERY BLVD, CHICAGO, IL 60649-2425
(773) 324-4325
(773) 324-4324
Mailing address
7141 S. JEFFERY BLVD, CHICAGO, IL 60649-2425
(773) 324-4325
(773) 324-4324
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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