THE PAIN CLINIC INC. (NPI# 1407090350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090350 |
| Entity Type | Organization |
| Organization Name | THE PAIN CLINIC INC. |
| Practice Address |
3674 Ridge Rd Lansing IL 60438-3144 |
| Practice Telephone | 7084742700 |
| Practice Fax Number | 7084743300 |
| Mailing Telephone | 7084742700 |
| Mailing Fax Number | 7084743300 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | DR. CHARLES A. GROSS (PRESIDENT) |
| Authorized Official Telephone | 7084742700 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 038-006292 | IL | Chiropractic Providers |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 036-063384 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3674 RIDGE RD |
| City | LANSING |
| State | IL |
| Zip Code | 60438-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508021247 | Jamie Walter Dausch | Hearing Instrument Specialist | 3674 Ridge Rd, Lansing, IL 60438-3144 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124178421 | David P. Nebbeling | Neuromusculoskeletal Medicine & OMM | 3918 W St Joe Hwy, Lansing, MI 48917-4214 | 2007-01-11 |
| 1033148804 | Sherman Gorbis | Neuromusculoskeletal Medicine & OMM | 3955 Patient Care Dr, Lansing, MI 48911 | 2006-07-02 |
| 1346278694 | David N Grimshaw | Neuromusculoskeletal Medicine & OMM | 1106 N Cedar St., Suite 200b, Lansing, MI 48906 | 2006-06-28 |
| 1811345283 | Zachary Shiver | Neuromusculoskeletal Medicine & OMM | 1200 E Michigan Ave, Suite #245, Lansing, MI 48912-1800 | 2016-05-26 |
| 1720227739 | Dr. Wesley C. Lockhart, PC | Neuromusculoskeletal Medicine & OMM | 3394 E Jolly Rd, Suite D, Lansing, MI 48910-8594 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436330 | Christopher Sugihara Ngo | Neuromusculoskeletal Medicine & OMM | 2135 Dorothy Dr Ste 6, Belleville, IL 62223-7751 | 2012-04-19 |
| 1770749434 | Cheryl B Schwartz | Neuromusculoskeletal Medicine & OMM | 240 Saunders Road, Riverwoods, IL 60015-3835 | 2008-08-01 |
| 1114063989 | Gajda Sports Medical Center Ltd | Neuromusculoskeletal Medicine & OMM | 400 Lake Cook Road Suite 200c, Deerfield, IL 60015 | 2007-01-29 |
| 1750453858 | Carol Calhoun Williams | Neuromusculoskeletal Medicine & OMM | 124 E 8th St, Gibson City, IL 60936-1455 | 2006-11-14 |
| 1336225317 | Advantage Medical Group S.c. | Neuromusculoskeletal Medicine & OMM | 12770 S Harlem Ave, Palos Heights, IL 60463-2145 | 2006-10-31 |
| 1851485346 | Bernadette Goheen Kohn | Neuromusculoskeletal Medicine & OMM | 5404 W. Elm Street, Suite Q, Mchenry, IL 60050-4052 | 2006-10-02 |
| 1558462531 | Kurt P Heinking | Neuromusculoskeletal Medicine & OMM | 26520 Network Pl, Chicago, IL 60673-1265 | 2006-09-25 |
| 1669429908 | Lee Peter Bee | Neuromusculoskeletal Medicine & OMM | 107 W Franklin St, Sesser, IL 62884-1456 | 2006-05-30 |
| 1245293794 | James Randall Sigler | Neuromusculoskeletal Medicine & OMM | 909 W 3rd St, Mount Carmel, IL 62863-1718 | 2006-04-07 |
| 1841250339 | Edward A Trudeau | Neuromusculoskeletal Medicine & OMM | 319 E Madison St Ste 2a, Springfield, IL 62701-1035 | 2006-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE PAIN CLINIC INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.