INTEGRATED PAIN MANAGEMENT, SC (NPI# 1790274041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790274041 |
| Entity Type | Organization |
| Organization Name | INTEGRATED PAIN MANAGEMENT, SC |
| Practice Address |
2674 N. Halsted Chicago IL 60614-2302 |
| Mailing Address |
244 E Roosevelt Rd Lombard IL 60148-4647 |
| Practice Telephone | 7736611170 |
| Practice Fax Number | 3126350108 |
| Mailing Telephone | 3128424588 |
| Mailing Fax Number | 3126350108 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | TIAN XIA (OWNER) |
| Authorized Official Telephone | 3128424588 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATED PAIN MANAGEMENT, SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036105506 | IL | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
036105506 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105506 | 05 | |
| IL | MEDICARE PTAN | 210115 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2674 N. Halsted, Chicago, IL 606142302 | 7736611170 | 3126350108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508355876 | Integrated Pain Management, Sc | Anesthesiology | 4906 N. Western, Chicago, IL 60625-1922 | 2018-05-02 |
| Street Address |
2674 N. HALSTED |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588772255 | Health Benefits Physicians Services LLC | Pain Medicine | 25 E Washington Blvd, #1329, Chicago, IL 60602 | 2006-08-25 |
| 1871522631 | Midwest Physician Pain Center | Pain Medicine | 3522 E 95th St, Chicago, IL 60617-5164 | 2006-07-02 |
| 1427412410 | Integrated Pain Management-south Shore | Pain Medicine | 7141 S. Jeffery Blvd, Chicago, IL 60649-2425 | 2016-04-06 |
| 1174992119 | Midwest Pain Specialists Sc | Pain Medicine | 3139 W 111th St, Chicago, IL 60655-2205 | 2015-09-21 |
| 1831435544 | Pain Treatment Center of Chicago | Pain Medicine | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2012-12-27 |
| 1841556792 | Hannah Chung | Pain Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2012-04-04 |
| 1386948321 | Elite Pain Ltd | Pain Medicine | 8630 S Pulaski Rd, Chicago, IL 60652-3633 | 2011-01-05 |
| 1376791236 | Medicos Healthcare Services Group, LLC | Pain Medicine | 1431 N Western Ave, Suite 208, Chicago, IL 60622-1797 | 2008-09-04 |
| 1003063108 | Medicos Pain & Surgical Specialists, S.c. | Pain Medicine | 712 N Dearborn St, Chicago, IL 60654-3818 | 2008-08-20 |
| 1487855219 | Michael Mcnett Md Sc | Pain Medicine | 4332 N Elston Ave, Chicago, IL 60641-2144 | 2007-05-30 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on INTEGRATED PAIN MANAGEMENT, SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.