Southside Pain Relief Center Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHSIDE PAIN RELIEF CENTER INC

Practice address

5569 W 95TH St
Oak Lawn, IL 60453-2356

Phone

(708) 717-5947

Fax

(708) 576-8491

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Valentino Botti, D.C.

Title

President

Phone

(708) 717-5947

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tian Xia, DO

  • Pain Medicine (Anesthesiology) Physician
  • Lombard, IL
  • NPI 1467492728
  NPD (past)

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1710311170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-717-5947",
            "fax_number": "708-576-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-717-5947",
            "fax_number": "708-576-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PAIN RELIEF CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "BOTTI",
        "authorized_official_first_name": "VALENTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-717-5947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Soto
• Kimberly Souder, FNP
• Juanita R Soukouna, REGISTERED NURSE
• South Suburban Injury Care
• Southside Pain Relief Center Inc (Integrated Pain Management at Oak Lawn)
• Southwest Allergy Associates.S.C.
• Southwest Center for Gastroenterology
• Southwest Chiropractic Rehabilitation Center LTD
• Southwest Foot Ankle, LLC
• Southwest Gastroenterology, S.C.

• Pain Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, 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 Aug 21, 2013; 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.