Provider Demographics
NPI:1477606820
Name:FOX VALLEY PAIN MANAGEMENT, LLC
Entity Type:Organization
Organization Name:FOX VALLEY PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG-SHING
Authorized Official - Middle Name:
Authorized Official - Last Name:TSANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-906-1800
Mailing Address - Street 1:1315 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1400
Mailing Address - Country:US
Mailing Address - Phone:630-906-1800
Mailing Address - Fax:630-906-9860
Practice Address - Street 1:1315 N HIGHLAND AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1400
Practice Address - Country:US
Practice Address - Phone:630-906-1800
Practice Address - Fax:630-906-9860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD12437Medicare UPIN
IL203078Medicare ID - Type Unspecified