Individual
MR. TIAN XIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
244 E. ROOSEVELT RD., LOMBARD, IL 60148
(630) 629-6298
(312) 635-0108
Mailing address
PO BOX 167870, CHICAGO, IL 60616-7870
(312) 842-4588
(312) 635-0108
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036-105506
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036105506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105506
—
IL
Enumeration date
06/07/2006
Last updated
12/28/2010
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