Rx Pain Management Group Pc

LBN: Rx Pain Management Group Pc
Rx Pain Management Group Pc is an health care organization with primary practice located at 3405 S Halsted Street , Chicago IL 60608-6707. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Rx Pain Management Group Pc can be contacted via phone (773) 247-2131, or through Deng, Yan via phone (773) 247-2131.

Contact Information

Primary practice address
3405 S Halsted Street Chicago IL 60608-6707
Phone: (773) 247-2131
Fax: (773) 247-3110
Website:
Map and Directions
Authorized official contact:
Name: Deng, Yan
Phone: (773) 247-2131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036088691 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036088691 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 036088691 Illinois

Profile Details

NPI number 1154334779
LBN Legal business name Rx Pain Management Group Pc
DBA Doing business as
Authorized official Deng, Yan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 11th, 2016 - about 8 years 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 1154334779 NPPES
Illinois MEDICAID 036088691
Illinois Other 1620404

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