Organization
INTEGRATED PAIN MANAGEMENT (LINCOLN PARK) LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIAN XIA D.O. (PRESIDENT/OWNER)
(312) 842-4588
Entity
Organization
Contact information
Practice address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 235-8000
(773) 235-7018
Mailing address
2674 N HALSTED ST, CHICAGO, IL 60614-2361
(773) 235-8000
(773) 235-7018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036105506
IL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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