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INTEGRATIVE MEDICAL PAIN CLINIC CO NPI 1730600578


NPI Information

NPI: 1730600578
Provider Name: INTEGRATIVE MEDICAL PAIN CLINIC CO

Doing Business As: BODY FOCUS CLINIC

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 14D2140746

Address:
1935 S STATE ST STE C
CHICAGO, IL
ZIP 60616
Phone: (312) 808-1200
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INTEGRATIVE MEDICAL PAIN CLINIC CO is a pain medicine physical medicine rehabilitation in Chicago, IL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INTEGRATIVE MEDICAL PAIN CLINIC CO NPI is 1730600578. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Body Focus Clinic.

The provider's business location address is:

1935 S STATE ST STE C
CHICAGO, IL
ZIP 60616-694
Phone: (312) 808-1200

The provider's authorized official is Linda Kun Li .
The authorized official title is Ceo and has the following contact phone number (312) 808-1200.

The CLIA number assigned to this NPI record is 14D2140746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2017 and was last updated on 8/3/2023.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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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