Provider Demographics
NPI:1245584531
Name:INTEGRATED PAIN THERAPY AND WELLNESS LTD
Entity Type:Organization
Organization Name:INTEGRATED PAIN THERAPY AND WELLNESS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-821-8680
Mailing Address - Street 1:455 S ROSELLE RD
Mailing Address - Street 2:#104
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2971
Mailing Address - Country:US
Mailing Address - Phone:847-352-5511
Mailing Address - Fax:
Practice Address - Street 1:455 S ROSELLE RD
Practice Address - Street 2:#104
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2971
Practice Address - Country:US
Practice Address - Phone:847-352-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127447208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty