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SOUTHSIDE PAIN RELIEF CENTER INC NPI 1134531973


NPI Information

NPI: 1134531973
Provider Name: SOUTHSIDE PAIN RELIEF CENTER INC

Doing Business As: INTEGRATED PAIN MANAGEMENT AT OAK LAWN

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5569 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 717-5947
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SOUTHSIDE PAIN RELIEF CENTER INC is a specialist in Oak Lawn, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHSIDE PAIN RELIEF CENTER INC NPI is 1134531973. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrated Pain Management At Oak Lawn.

The provider's business location address is:

5569 W 95TH ST
OAK LAWN, IL
ZIP 60453-356
Phone: (708) 717-5947
Fax: (708) 576-8491

The provider's authorized official is Tian Xia .
The authorized official title is President and has the following contact phone number (312) 953-9667.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 1/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist036105506ILLINOISYes

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: 4/28/2024

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