Organization
INTEGRATED PAIN MANAGEMENT SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIAN XIA D.O (CEO)
(312) 842-4588
Entity
Organization
Contact information
Practice address
3405 S HALSTED ST, CHICAGO, IL 60608-6707
(773) 247-2131
(773) 247-3110
Mailing address
244 E ROOSEVELT RD, LOMBARD, IL 60148-4647
(312) 842-4588
(630) 495-7255
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
03/20/2013
Last updated
05/16/2024
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