MIDWEST ALTERNATIVE TREATMENT CLINIC, PC
NPI 1104439777
Clinic/Center - Adult Mental Health in Oak Park, IL

Q: What is Midwest Alternative Treatment Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since August 24, 2020

1100 LAKE ST STE 260, OAK PARK, IL 60301(708) 334-8075(708) 419-2176 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Jun 19, 2025, Dec 9, 2021 and 3 more (6 updates tracked since 2020).

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About Midwest Alternative Treatment Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST ALTERNATIVE TREATMENT CLINIC, PC (NPI 1104439777) is a healthcare organization registered as an adult mental health in Oak Park, Illinois and active in the NPI registry since August 2020. The organization lists David Manno, Chief Physician, as its authorized official.

NPPES Registry Identity

NPI1104439777

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameMIDWEST ALTERNATIVE TREATMENT CLINIC, PC

Location Address1100 LAKE ST STE 260Oak Park, IL 60301-1095

Mailing Address1100 Lake St Ste 260Oak Park, IL 60301-1095 · (708) 334-8075 · Fax (708) 419-2176

Phone(708) 334-8075

Fax(708) 419-2176

Organization SubpartNo

Authorized OfficialDavid MannoChief Physician · (708) 334-8075

Enumeration DateAugust 24, 2020

Last NPPES UpdateJune 24, 20256 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1104439777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

1100 LAKE ST STE 260, Oak Park, IL 60301

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN LEAHEY

Nurse Practitioner

1100 LAKE ST STE 260
OAK PARK, IL 60301

Cook County (708) 334-8075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Alternative Treatment Clinic, PC's NPI number?

The NPI number for Midwest Alternative Treatment Clinic, PC is 1104439777. It was assigned to this organization in the NPPES registry on August 24, 2020.

Where is Midwest Alternative Treatment Clinic, PC located?

Midwest Alternative Treatment Clinic, PC is located at 1100 Lake St Ste 260, Oak Park, IL 60301. The listed phone number is (708) 334-8075.

What is Midwest Alternative Treatment Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Midwest Alternative Treatment Clinic, PC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.