Integrated Pain Management, SC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

036105506 Issued in IL

Legal business name

INTEGRATED PAIN MANAGEMENT, SC

Practice address

4906 N. Western
Chicago, IL 60625-1922

Phone

(773) 334-3767

Fax

(312) 635-0108

NPI assigned

May 2, 2018

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

INTEGRATED PAIN MANAGEMENT, SCAs reported in NPPES

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

Authorized official

Name

Tian Xia, D.O.NPI 1467492728

Title

Owner

Phone

(312) 842-4588

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Integrated Pain Management

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tian Xia, DO

  • Pain Medicine (Anesthesiology) Physician
  • Lombard, IL
  • NPI 1467492728
  Authorized official Same address or phone

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1508355876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484647",
            "telephone_number": "312-842-4588",
            "fax_number": "312-635-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 N. WESTERN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251922",
            "telephone_number": "773-334-3767",
            "fax_number": "312-635-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN MANAGEMENT, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED PAIN MANAGEMENT, SC",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "TIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-842-4588",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036105506",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036105506",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105506",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Pain Management (Lincoln Park) LTD
• Integrated Pain Management SC
• Integrated Pain Management SC
• Integrated Pain Management SC
• Integrated Pain Management-South Shore
• Integrated Rehab Consultants LLC
• Integrated Therapy Network Inc
• Integrated Therapy Specialists, L.L.C.
• Integrated Therapy Specialists, L.L.C.
• Integration International Inc

• Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.