Healthcare Provider Details

I. General information

NPI: 1700965001
Provider Name (Legal Business Name): RX PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 W 35TH ST
CHICAGO IL
60616-4484
US

IV. Provider business mailing address

229 W 25TH PL
CHICAGO IL
60616-2220
US

V. Phone/Fax

Practice location:
  • Phone: 773-247-2131
  • Fax:
Mailing address:
  • Phone: 773-247-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateIL
# 5
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: RENLIN XIA
Title or Position: PRESIDENT
Credential: MD
Phone: 773-247-2131