Integrated Pain Management (lincoln Park) Ltd

NPI 1124437033 - Specialist - 174400000X

NPI Details
NPI 1124437033
Enumeration Date 08/05/2014
Last Updated 08/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TIAN TIAN
Position PRESIDENT/OWNER
Phone (773) 235-8000
Fax (773) 235-7018
Practice Location
2674 N HALSTED ST
CHICAGO IL, 60614-2361, US
Phone (773) 235-8000
Fax (773) 235-7018
Business Location
2674 N HALSTED ST
CHICAGO IL, 60614-2361, US
Phone (773) 235-8000
Fax (773) 235-7018
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036105506
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According to our database, Integrated Pain Management (lincoln Park) Ltd NPI is 1124437033, taxonomy code is 174400000X and license number is 036105506, license state is located at Illinois. Integrated Pain Management (lincoln Park) Ltd physically located at 2674 N Halsted St, Chicago IL, 60614-2361. NPI Number 1033115704 has the healthcare provider type.

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1124437033 NPI number is provided on an as is basis without warranty of any kind. 1124437033 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Pain Management (lincoln Park) Ltd are for informational purposes only.