Provider Demographics
NPI:1457623787
Name:JIN'S PAIN THERAPY CLINIC INC
Entity Type:Organization
Organization Name:JIN'S PAIN THERAPY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NAPRAPATH
Authorized Official - Prefix:DR
Authorized Official - First Name:BAILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JIN
Authorized Official - Suffix:
Authorized Official - Credentials:D-N
Authorized Official - Phone:773-386-2683
Mailing Address - Street 1:735 W. 35TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616
Mailing Address - Country:US
Mailing Address - Phone:773-386-2683
Mailing Address - Fax:773-254-8944
Practice Address - Street 1:735 W. 35TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616
Practice Address - Country:US
Practice Address - Phone:773-386-2683
Practice Address - Fax:773-254-8944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181-000303172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty