NPI Code Details Logo

NPI 1700965001

NPI 1700965001 : RX PAIN MANAGEMENT : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700965001
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RX PAIN MANAGEMENT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/06/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    736 W 35TH ST 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60616-4484
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-247-2131
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    229 W 25TH PL 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60616-2220
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-247-2131
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     RENLIN  XIA 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    773-247-2131
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207LP2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2081P2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    208VP0014X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Pain Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2084P2900X
-----------------------------------------------------
    Taxonomy Name        |    Pain Medicine (Psychiatry & Neurology) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.