Organization
RX PAIN MANAGEMENT GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAN DENG (MANAGER)
(773) 247-2131
Entity
Organization
Contact information
Practice address
3405 S HALSTED STREET, CHICAGO, IL 60608-6707
(773) 247-2131
(773) 247-3110
Mailing address
3405 S HALSTED STREET, CHICAGO, IL 60608-6707
(773) 247-2131
(773) 247-3110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
036088691
IL
208000000X
Pediatrics Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036088691
IL
208VP0000X
Pain Medicine Physician
036088691
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088691
—
IL
01
—
1620404
BCBS
IL
Enumeration date
08/14/2006
Last updated
03/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us