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NPI Code Detail

MEDICARE: RX PAIN MANAGEMENT

MEDICARE: RX PAIN MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianIL
2207R00000XInternal Medicine PhysicianIL
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianIL
4208VP0014XInterventional Pain Medicine PhysicianIL
52084P2900XPain Medicine (Psychiatry & Neurology) PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11620404OTHERILBCBS

General Provider Information

NPI Number : 1700965001
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX PAIN MANAGEMENT
Provider Business Mailing Address
First Line : 229 W 25TH PL
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2220
Country : US
Telephone Number : 773-247-2131
Fax Number :
Provider Business Practice Location Address
First Line : 736 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60616-4484
Country : US
Telephone Number : 773-247-2131
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RENLIN XIA
Credential : MD
Telephone Number : 773-247-2131
Provider Enumeration Date : 11/06/2006
Last Update Date : 09/11/2025

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Directions to “RX PAIN MANAGEMENT ” Practice Location

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