| Rx Pain Management Group Pc | |
|
3405 S Halsted Street Chicago IL 60608-6707 | |
| (773) 247-2131 | |
| (773) 247-3110 |
| Full Name | Rx Pain Management Group Pc |
|---|---|
| Speciality | Anesthesiology |
| Location | 3405 S Halsted Street, Chicago, Illinois |
| Authorized Official Name and Position | Yan Deng (MANAGER) |
| Authorized Official Contact | 7732472131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rx Pain Management Group Pc 3405 S Halsted Street Chicago IL 60608-6707 Ph: (773) 247-2131 | Rx Pain Management Group Pc 3405 S Halsted Street Chicago IL 60608-6707 Ph: (773) 247-2131 |
| NPI Number | 1154334779 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/11/2016 |
| Medicare PECOS PAC ID | 0143218727 |
|---|---|
| Medicare Enrollment ID | O20040503001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154334779 | NPI | - | NPPES |
| 036088691 | Medicaid | IL | |
| 1620404 | Other | IL | BCBS |
| Provider Name | Renlin Xia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790809960 PECOS PAC ID: 2860480456 Enrollment ID: I20040505000249 |
| Provider Name | Teng Liang Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639181068 PECOS PAC ID: 4183751977 Enrollment ID: I20100428000057 |
| Provider Name | Andriy Khlopas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598263899 PECOS PAC ID: 7113289398 Enrollment ID: I20180328001310 |
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