MIDWEST ALTERNATIVE TREATMENT CLINIC, PC (NPI# 1104439777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104439777 |
| Entity Type | Organization |
| Organization Name | MIDWEST ALTERNATIVE TREATMENT CLINIC, PC |
| Practice Address |
1100 Lake St Ste 125b Oak Park IL 60301-1015 |
| Practice Telephone | 7083348075 |
| Mailing Telephone | 7083348075 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | DR. DAVID MANNO (CHIEF PHYSICIAN) |
| Authorized Official Telephone | 7083348075 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1100 LAKE ST STE 125B |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938857 | David Manno | Emergency Medicine | 1100 Lake St Ste 125b, Oak Park, IL 60301-1015 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866050 | Virtis Health, LLC | Clinic/Center | 10210 Werch Dr Ste 203, Woodridge, IL 60517-4815 | 2020-06-18 |
| 1679198014 | Ingalls Memorial Hospital | Clinic/Center | 6701 159th St Ste B105, Tinley Park, IL 60477-1758 | 2020-06-11 |
| 1346864337 | University of Chicago Medical Center | Clinic/Center | 355 E Grand Ave Ste 2800, Chicago, IL 60611-5389 | 2020-06-04 |
| 1194216408 | The North Shore Iv Center | Clinic/Center | 200 Green Bay Rd Fl 2, Highwood, IL 60040-1703 | 2018-05-22 |
| 1205345337 | Glow Health and Wellness Medical Spa, PC | Clinic/Center | 1528 W Monroe St Ste 100, Chicago, IL 60607-2460 | 2017-09-20 |
| 1972050037 | Cynthia Carmona | Clinic/Center | 7715 N Hermitage Ave, 2e, Chicago, IL 60626-1033 | 2016-09-07 |
| 1386035889 | Prince&princess | Clinic/Center | 3630 214th Pl, Matteson, IL 60443-2704 | 2015-02-05 |
| 1609046242 | Premier Point Home Health, Inc. | Clinic/Center | 4701 N Sheridan Rd, Chicago, IL 60640-5021 | 2008-03-11 |
| 1962554485 | Option Health Ltd | Clinic/Center | 985 Avenue of The Cities, Suite 105, Silvis, IL 61282-7001 | 2007-01-17 |
| 1346270527 | Option Care Enterprises, Inc. | Clinic/Center | 1226 Michael Drive, Suite A, Wood Dale, IL 60191-1056 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.