Organization
MIDWEST ALTERNATIVE TREATMENT CLINIC, PC
Active
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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