NPI 1407090350

The Pain Clinic INC.

Organisation Neuromusculoskeletal Medicine & OMM Physician Lansing, IL

Practice location

Address: 3674 Ridge Rd, Lansing, IL 60438-3144
Phone: (708) 474-2700
Fax: (708) 474-3300

Authorised official

Name: Charles A. Gross
Title: President
Phone: (708) 474-2700

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 036-063384 (IL)

Other Neuromusculoskeletal Medicine & OMM providers in Illinois →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence 038-006292 (IL)

Other Chiropractor providers in Illinois →

Registry record

NPI: 1407090350
Entity type: Organization
NPI issued: 22 Apr 2009
Record last updated: 22 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.