Organization
THE PAIN CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. GROSS D.C. (PRESIDENT)
(708) 474-2700
Entity
Organization
Contact information
Practice address
3674 RIDGE RD, LANSING, IL 60438-3144
(708) 474-2700
(708) 474-3300
Mailing address
3674 RIDGE RD, LANSING, IL 60438-3144
(708) 474-2700
(708) 474-3300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-006292
IL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
036-063384
IL
Other
Enumeration date
04/22/2009
Last updated
07/22/2015
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