Austin, Xiao-Tian

Austin, Xiao-Tian is an individual health care provider with primary practice located at 1300 Franklin Ave , Normal IL 61761-3592. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Austin, Xiao-Tian can be contacted via phone (309) 454-1400.

Contact Information

Primary practice address
1300 Franklin Ave Normal IL 61761-3592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X PENDING Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.123730 Illinois

Profile Details

NPI number 1174583744
LBN Legal business name Austin, Xiao-Tian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 16th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174583744 NPPES
Illinois Other 036.123730 STATE LICENSE
Illinois MEDICAID 036123730 STATE LICENSE

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