INTEGRATED PAIN MANAGEMENT SC NPI 1790274041

NPI Information

  • NPI: 1790274041
  • Provider Name: INTEGRATED PAIN MANAGEMENT, SC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Address: 819 CAMPUS DR
    JOLIET, IL
    ZIP 60435
  • Phone: (630) 629-6298

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NPI Details

INTEGRATED PAIN MANAGEMENT, SC is a non pharmacy dispensing site in Joliet, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) INTEGRATED PAIN MANAGEMENT, SC NPI is 1790274041. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

819 CAMPUS DR
JOLIET, IL
ZIP 60435-573
Phone: (630) 629-6298
Fax: (630) 599-7149

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 5/2/2018 and was last updated on 4/24/2025.

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
1207L00000XAnesthesiology036105506ILLINOISNo
2208VP0000XPain MedicinePain Medicine036105506ILLINOISNo
3332900000XNon-Pharmacy Dispensing SiteYes

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: 11/21/2025

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