Organization Active NPI

Chicago Headache Clinic

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1619141884
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICAGO HEADACHE CLINIC
Practice address
2553 S Ridgeway Ave
Chicago, IL 60623-3831
Phone
(773) 521-8160
Fax
(773) 521-8252
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Caruso, M.D.
Title
Medical Director
Phone
(773) 521-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

2553 S Ridgeway Ave
Chicago, IL 60623-3831

Mailing address

2553 S Ridgeway Ave
Chicago, IL 60623-3831
Phone (773) 521-8160

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1619141884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 S RIDGEWAY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233831",
            "telephone_number": "773-521-8160",
            "fax_number": "773-521-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 S RIDGEWAY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233831",
            "telephone_number": "773-521-8160",
            "fax_number": "773-521-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO HEADACHE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-521-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.