OrganizationActive
The Pain Clinic Inc.
NPI 1407090350 · Neuromusculoskeletal Medicine & OMM Physician · Lansing, IL
Provider details
- NPI number
- 1407090350
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Gross, President(708) 474-2700
- License
- 038-006292 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Practice location
3674 Ridge Rd
Lansing, IL 60438-3144
Phone: (708) 474-2700
Fax: (708) 474-3300
Approximate (ZIP-level) locationGet directions
Mailing address
3674 Ridge Rd
Lansing, IL 60438-3144
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2015-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.