Organization
LX HEALTH ADVOCATE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENLIN XIA M.D. (PRESIDENT/OWNER)
(773) 334-3767
Entity
Organization
Contact information
Practice address
4906 N WESTERN AVE, CHICAGO, IL 60625-1922
(773) 334-3767
(773) 334-4931
Mailing address
4906 N WESTERN AVE, CHICAGO, IL 60625-1922
(773) 334-3767
(773) 334-4931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038008583
IL
207R00000X
Internal Medicine Physician
Primary
036088691
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036088691
IL
208VP0000X
Pain Medicine Physician
036088691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633171
BCBS
IL
05
—
036088691 PAYEE2
—
IL
Enumeration date
08/14/2006
Last updated
01/03/2014
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