Advanced Headache and Neurocare Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036115294 Issued in IL

Legal business name

ADVANCED HEADACHE AND NEUROCARE CLINIC

Practice address

4945 Forest Ave
Downers Grove, IL 60515-3509

Phone

(630) 697-7907

NPI assigned

Nov 12, 2015

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Ann Masood, M.D.NPI 1396951240

Title

Neurologist

Phone

(630) 697-7907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Ann Masood, M.D.

  • Neurology Physician
  • Downers Grove, IL
  • NPI 1396951240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1861865867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NORFOLK AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141242",
            "telephone_number": "630-697-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153509",
            "telephone_number": "630-697-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEADACHE AND NEUROCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "630-697-7907",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036115294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Adamec
• Elissa Kim Adatya, M.D.
• Addus Healthcare, Inc.
• Oluyemi Samson Adeagbo
• Kristine Marie Adrowski, RDN, LDN
• Advanced Heart Lipid Clinic
• Advantage Physical Therapy Associates, SC
• Adventist Health Partners, Inc (Family Health of Downers Grove)
• Adventist Health Partners, Inc (West Suburban Ear Nose & Throat Center)
• Adventist Health Partners, Inc (Healthcare for Women)

• Medical Specialty Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.