Organization
MIDWEST ALTERNATIVE TREATMENT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MANNO DO (CHIEF PHYSICIAN)
(708) 334-8075
Entity
Organization
Contact information
Practice address
1100 LAKE ST STE 260, OAK PARK, IL 60301-1095
(708) 334-8075
(708) 419-2176
Mailing address
1100 LAKE ST STE 260, OAK PARK, IL 60301-1095
(708) 334-8075
(708) 419-2176
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
06/24/2025
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