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Organization
INTEGRATED PAIN MANAGEMENT SC
Active
Organization
INTEGRATED PAIN MANAGEMENT SC
Active
Parent organization
INTEGRATED PAIN MANAGEMENT, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED PAIN MANAGEMENT, SC
Authorized official
TIAN XIA DO (OWNER)
(312) 842-4588
Entity
Organization
Contact information
Practice address
810 S MCLEAN BLVD, ELGIN, IL 60123-6703
(630) 629-6298
Mailing address
244 E ROOSEVELT RD, LOMBARD, IL 60148-4647
(312) 845-4588
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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