| NPI | 1538401278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIAN XIA CEO 312-842-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-05-16 |