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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: July 19, 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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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

What is MIDWEST ALTERNATIVE TREATMENT CLINIC, PC's NPI number?

The NPI number assigned to this healthcare provider is 1104439777, enumerated as an "organization" on August 24, 2020.

Where is the provider located?

The provider is located at 1100 LAKE ST STE 260 OAK PARK, IL 60301 and the phone number is (708) 334-8075.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.