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

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: October 18, 2026.

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

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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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midwest Alternative Treatment Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Midwest Alternative Treatment Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Meghan Leahey
Nurse Practitioner
NPI 1669066320
1100 LAKE ST STE 260
Oak Park, IL 60301
(708) 334-8075
✔ PECOSSame address
David Manno, D.O.
Emergency Medicine
NPI 1215938857
1100 LAKE ST STE 125B
Oak Park, IL 60301
(708) 334-8075
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Midwest Alternative Treatment Clinic, PC enrolled in Medicare?

Yes. Midwest Alternative Treatment Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Alternative Treatment Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Midwest Alternative Treatment Clinic, PC, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.