Provider Demographics
NPI:1073950523
Name:NEUROLOGY & HEADACHE CLINIC S C
Entity Type:Organization
Organization Name:NEUROLOGY & HEADACHE CLINIC S C
Other - Org Name:NEUROLOGY & HEADACHE CLINIC S C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-360-2299
Mailing Address - Street 1:800 BIESTERFIELD RD
Mailing Address - Street 2:SUITE # 203
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-7322
Mailing Address - Country:US
Mailing Address - Phone:630-360-2299
Mailing Address - Fax:630-348-0071
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:SUITE # 203
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-7322
Practice Address - Country:US
Practice Address - Phone:630-360-2299
Practice Address - Fax:630-348-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL350887922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1396785127OtherINDIVIDUAL NPI
IL336082500OtherCDS
IL036112528OtherSTATE LICENSE
ILBS9387615OtherDEA
ILI60009Medicare UPIN