INTEGRATED PAIN MANAGEMENT (NPI# 1184966822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184966822 |
| Entity Type | Organization |
| Organization Name | INTEGRATED PAIN MANAGEMENT |
| Practice Address |
2674 N Halsted St Chicago IL 60614-2361 |
| Mailing Address |
244 E Roosevelt Rd Lombard IL 60148-4647 |
| Practice Telephone | 3128424588 |
| Practice Fax Number | 6304957255 |
| Mailing Telephone | 3128424588 |
| Mailing Fax Number | 6304957255 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | TIAN XIA (CEO) |
| Authorized Official Telephone | 3128424588 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC. | 165 Lennon Lane, Suite 100, Walnut Creek, CA 94598 |
| Colorado Business Entities | INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC. | 450 N Wigit Lane, Walnut Creek, CA 94598 |
| Street Address |
2674 N HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164402533 | Joanne B Davis | Podiatrist | 2674 N Halsted St, Chicago, IL 60614-2361 | 2006-01-20 |
| 1124437033 | Integrated Pain Management (lincoln Park) Ltd | Specialist | 2674 N Halsted St, Chicago, IL 60614-2361 | 2014-08-05 |
| 1245402114 | Akhil V Jagadeesh P.C. | Dentist | 2674 N Halsted St, Chicago, IL 60614-2361 | 2008-03-31 |
| 1598895872 | Joanne Davis Dpm | Podiatrist | 2674 N Halsted St, Chicago, IL 60614-2361 | 2007-03-06 |
| 1245317908 | Akhil Venkatesh Jagadeesh | Dentist | 2674 N Halsted St, Chicago, IL 60614-2361 | 2006-11-01 |
| 1316049166 | Balkrishna Sundar Md Sc | Urology | 2674 N Halsted St, Chicago, IL 60614-2361 | 2006-09-02 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775770 | Regenerative Pain & Spine LLC | Anesthesiology | 2122 W Devon Ave, Chicago, IL 60659-3581 | 2020-09-22 |
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| 1487035408 | Emilio A. Valdes | Anesthesiology | 1969 W. Ogden Ave., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612 | 2015-06-16 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1407291867 | Andrew Donguk Nam | Anesthesiology | 1969 W Ogden Ave Fl 5, Chicago, IL 60612-3765 | 2013-04-29 |
| 1326380072 | Integrated Pain Management Sc | Anesthesiology | 736 W. 35th St., Chicago, IL 60616-3438 | 2013-03-20 |
| 1467742577 | William Richard Landphair | Anesthesiology | 1725 W Harrison St Ste 550, Chicago, IL 60612-3846 | 2011-04-10 |
| 1851547616 | Dalia H Elmofty | Anesthesiology | 5841 S Maryland Ave Mc 4028, University of Chicago, Department of Anesthesia, Chicago, IL 60637 | 2008-08-13 |
| 1588827646 | Intesar Hussain | Anesthesiology | 830 N. Ashland Avenue, Chicago, IL 60622-5684 | 2008-07-08 |
| Find all providers in CHICAGO | ||||
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| 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.