Organization Active NPI

Midway Behavior Health

  • Adolescent and Children Mental Health Clinic/Center
  • Oak Park, IL
National Provider Identifier
1104678150
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MIDWAY BEHAVIOR HEALTH
Practice address
7121A North Ave
Oak Park, IL 60302-1002
Phone
(708) 270-1665
NPI assigned
Apr 3, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Gada Khalil
Title
Manger
Phone
(708) 378-4550

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

NPPES NPI Registry

Primary practice location

7121A North Ave
Oak Park, IL 60302-1002

Mailing address

11888 Jennifer St
Frankfort, IL 60423-8028
Phone (708) 378-4550

Other practice location 1

11888 Jennifer St
Frankfort, IL 60423-8028
Phone (708) 378-4550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2025.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1104678150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 JENNIFER ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238028",
            "telephone_number": "708-378-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121A NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021002",
            "telephone_number": "708-270-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11888 Jennifer St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604238028",
            "country_code": "US",
            "telephone_number": "708-378-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWAY BEHAVIOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "GADA",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "708-378-4550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.