Organization
MIDWAY BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GADA KHALIL (MANGER)
(708) 378-4550
Entity
Organization
Contact information
Practice address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 270-1665
Mailing address
11888 JENNIFER ST, FRANKFORT, IL 60423-8028
(708) 378-4550
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
10/06/2025
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