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INTEGRATED PAIN MANAGEMENT SC NPI 1447290713


NPI Information

NPI: 1447290713
Provider Name: INTEGRATED PAIN MANAGEMENT SC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
244 E ROOSEVELT RD
LOMBARD, IL
ZIP 60148
Phone: (312) 842-4588
Get Directions

INTEGRATED PAIN MANAGEMENT SC is a pain medicine anesthesiology in Lombard, IL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. INTEGRATED PAIN MANAGEMENT SC NPI is 1447290713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

244 E ROOSEVELT RD
LOMBARD, IL
ZIP 60148-647
Phone: (312) 842-4588
Fax: (312) 635-0108

The provider's authorized official is Tian Xia .
The authorized official title is Owner and has the following contact phone number (312) 842-4588.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 3/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine036-105506ILLINOISYes
2332900000XNon-Pharmacy Dispensing SiteNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036105506MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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