# THE PAIN CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407090350
- **Authorized official:** DR. CHARLES A. GROSS D.C. (PRESIDENT)
- **Authorized official phone:** (708) 474-2700

## Contact information

- **Practice address:** 3674 RIDGE RD, LANSING, IL 60438-3144
- **Practice address phone:** (708) 474-2700
- **Practice address fax:** (708) 474-3300
- **Mailing address:** 3674 RIDGE RD, LANSING, IL 60438-3144
- **Mailing address phone:** (708) 474-2700
- **Mailing address fax:** (708) 474-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038-006292 | IL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 036-063384 | IL | Yes |

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 07/22/2015