Organization
MIDWEST HEALING & CLARITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F MALLORY LCSW (OWNER)
(630) 386-1613
Entity
Organization
Contact information
Practice address
980 NORTH MICHIGAN AVENUE, SUITE 1400 PMB353, CHICAGO, IL 60611
(630) 386-1613
Mailing address
4655 N SPAULDING AVE APT 2, CHICAGO, IL 60625-6923
(630) 991-8948
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.017185
STATE OF ILLINOIS LICENSURE
IL
Enumeration date
03/13/2022
Last updated
03/13/2022
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