NPIMap

Organization Active NPI

Integrated Pain Management, SC

  • Non-Pharmacy Dispensing Site
  • Joliet, IL
National Provider Identifier
1790274041
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
INTEGRATED PAIN MANAGEMENT, SC
Practice address
819 Campus Dr
Joliet, IL 60435-8573
Phone
(630) 629-6298
Fax
(630) 599-7149
NPI assigned
May 2, 2018
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED PAIN MANAGEMENT, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036105506 IL
Pain Medicine Physician 208VP0000X 036105506 IL
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

819 Campus Dr
Joliet, IL 60435-8573

Mailing address

244 E Roosevelt Rd
Lombard, IL 60148-4647
Phone (312) 842-4588

National Provider Directory

National Provider Directory
Part of
Integrated Pain Management

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1790274041",
    "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": "819 CAMPUS DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358573",
            "telephone_number": "630-629-6298",
            "fax_number": "630-599-7149"
        }
    ],
    "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": "2025-04-24",
        "certification_date": "2025-04-24",
        "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": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036105506",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036105506",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.