Organization
ADVANCED HEADACHE AND NEUROCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ANN MASOOD M.D. (NEUROLOGIST)
(630) 697-7907
Entity
Organization
Contact information
Practice address
4945 FOREST AVE, DOWNERS GROVE, IL 60515-3509
(630) 697-7907
Mailing address
73 NORFOLK AVE, CLARENDON HILLS, IL 60514-1242
(630) 697-7907
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036115294
IL
Other
Enumeration date
11/12/2015
Last updated
02/16/2022
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