Individual
DR. XIAO-TIAN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
(309) 454-1400
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.123730
IL
2085R0202X
Diagnostic Radiology Physician
PENDING
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.123730
STATE LICENSE
IL
05
—
036123730
—
IL
Enumeration date
03/27/2006
Last updated
02/16/2024
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