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Organization

INTEGRATED PAIN MANAGEMENT (BERWYN) LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIAN XIA D.O. (PRESIDENT)
(773) 235-8000
Entity
Organization

Contact information

Practice address
3253 HARLEM AVE, UNIT 5, BERWYN, IL 60402-2996
(630) 629-6298
(630) 495-7255
Mailing address
3253 HARLEM AVE, UNIT 5, BERWYN, IL 60402-2996
(773) 235-8000
(773) 235-7018

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036105506
IL

Other

Enumeration date
12/17/2013
Last updated
12/17/2013
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