# CHICAGO HEADACHE CLINIC

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

## Provider details

- **NPI number:** 1619141884
- **Authorized official:** DR. JAMES CARUSO M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (773) 521-8160

## Contact information

- **Practice address:** 2553 S RIDGEWAY AVE, CHICAGO, IL 60623-3831
- **Practice address phone:** (773) 521-8160
- **Practice address fax:** (773) 521-8252
- **Mailing address:** 2553 S RIDGEWAY AVE, CHICAGO, IL 60623-3831
- **Mailing address phone:** (773) 521-8160
- **Mailing address fax:** (773) 521-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008