NPI 1134531973

Southside Pain Relief Center INC

Organisation Specialist Oak Lawn, IL

Practice location

Address: 5569 W 95th St, Oak Lawn, IL 60453-2356
Phone: (708) 717-5947
Fax: (708) 576-8491

Authorised official

Name: Tian Xia
Title: President
Phone: (312) 953-9667

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036105506 (IL)

Other Specialist providers in Illinois →

Registry record

NPI: 1134531973
Entity type: Organization
NPI issued: 28 May 2014
Record last updated: 30 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.