NPIMap

Organization Active NPI

Integrated Pain Management-South Shore

  • Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1427412410
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
INTEGRATED PAIN MANAGEMENT-SOUTH SHORE
Practice address
7141 S. Jeffery Blvd
Chicago, IL 60649-2425
Phone
(773) 324-4325
Fax
(773) 324-4324
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tian Xia, D.O.
Title
Physician
Phone
(630) 629-6298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

7141 S. Jeffery Blvd
Chicago, IL 60649-2425

Mailing address

7141 S. Jeffery Blvd
Chicago, IL 60649-2425
Phone (773) 324-4325

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1427412410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 S. JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492425",
            "telephone_number": "773-324-4325",
            "fax_number": "773-324-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 S. JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492425",
            "telephone_number": "773-324-4325",
            "fax_number": "773-324-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN MANAGEMENT-SOUTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "TIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-629-6298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.