Integrated Pain Management Sc

LBN: Integrated Pain Management Sc
Integrated Pain Management Sc is an health care organization with primary practice located at 244 E Roosevelt Rd , Lombard IL 60148-4647. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Integrated Pain Management Sc can be contacted via phone (312) 842-4588, or through Xia, Tian via phone (312) 842-4588.

Contact Information

Primary practice address
244 E Roosevelt Rd Lombard IL 60148-4647
Phone: (312) 842-4588
Fax: (312) 635-0108
Website:
Map and Directions
Authorized official contact:
Name: Xia, Tian Doctor of Osteopathy (DO)
Phone: (312) 842-4588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036-105506 Illinois
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1447290713
LBN Legal business name Integrated Pain Management Sc
DBA Doing business as
Authorized official Xia, Tian Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated May 16th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447290713 NPPES
Illinois MEDICAID 036105506

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