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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
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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