Southside Pain Relief Center INC

NPI #1134531973 in Oak Lawn, Illinois

Provider Information

NPI Number: 1134531973
Entity Type: Organization
Organization Name: Southside Pain Relief Center INC
Primary Specialty: Specialist
Enumeration Date: May 28, 2014
Last Updated: Jan 30, 2015

Practice Location

Address: 5569 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2356
Phone: (708) 717-5947

Authorized Official

Name: DR. TIAN XIA, D.O.
Title: PRESIDENT
Phone: (312) 953-9667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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