# ADVANCED HEADACHE AND NEUROCARE CLINIC

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

## Provider details

- **NPI number:** 1861865867
- **Authorized official:** LESLIE ANN MASOOD M.D. (NEUROLOGIST)
- **Authorized official phone:** (630) 697-7907

## Contact information

- **Practice address:** 4945 FOREST AVE, DOWNERS GROVE, IL 60515-3509
- **Practice address phone:** (630) 697-7907
- **Mailing address:** 73 NORFOLK AVE, CLARENDON HILLS, IL 60514-1242
- **Mailing address phone:** (630) 697-7907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036115294 | IL | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 02/16/2022