Midwest Healing & Clarity

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIDWEST HEALING & CLARITY

Practice address

980 North Michigan Avenue
Suite 1400 Pmb353
Chicago, IL 60611

Phone

(630) 386-1613

NPI assigned

Mar 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael F Mallory, LCSWNPI 1164866554

Title

Owner

Phone

(630) 386-1613

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael Floyd Mallory, MSW, LCSW

  • Social Worker
  • McHenry, IL
  • NPI 1164866554
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1891443594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 N SPAULDING AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256923",
            "telephone_number": "630-991-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 NORTH MICHIGAN AVENUE",
            "address_2": "SUITE 1400 PMB353",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "630-386-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALING & CLARITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-386-1613",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS  LICENSURE",
            "identifier": "149.017185",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Eye Clinic, Inc
• Midwest Eye Group, P.C.
• Midwest Family Dental, LLC
• Midwest Family Wellness, Inc
• Midwest Foot Care, LTD.
• Midwest Health Center, LLC
• Midwest Healthplus LTD
• Midwest Home Health Agency, Inc.
• Midwest Imaging Professionals, LLC
• Midwest Lab LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.