Xia, Renlin
Xia, Renlin is an individual health care provider with primary practice located at 3412 W Fullerton Ave , Chicago IL 60647-2416. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Xia, Renlin can be contacted via phone (773) 235-8000.Contact Information
Primary practice address
3412 W Fullerton Ave
Chicago IL 60647-2416
Phone: (773) 235-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036088691 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088691 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 036088691 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036088691 | Illinois |
Profile Details
| NPI number | 1790809960 |
|---|---|
| LBN Legal business name | Xia, Renlin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 24th, 2007 - about 18 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790809960 | NPPES |
| Illinois | Other | 01620404 | BC |
| Illinois | MEDICAID | 036088691 4 | BC |
| Illinois | Other | 01635426 | BC |
| Illinois | Other | 01633171 | BC |
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