MEDICARE: MEDWORKS JOLIET CORP

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
1	261QX0100X	Occupational Medicine Clinic/Center	036-065509	IL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1932426285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDWORKS JOLIET CORP

Provider Business Mailing Address
First Line	:	815 CAMPUS DR
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8573
Country	:	US
Telephone Number	:	815-744-0808
Fax Number	:	815-730-6422

Provider Business Practice Location Address
First Line	:	815 CAMPUS DRIVE
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435
Country	:	US
Telephone Number	:	815-744-0808
Fax Number	:	815-744-8345

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIAN XIA
Credential	:	DO
Telephone Number	:	312-953-9667

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	06/08/2026

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Directions to “MEDWORKS JOLIET CORP ” Practice Location

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