GATEWAY PROFESSIONAL SERVICES, PC


Address: 4028 Dempster St Unit 100, Skokie, IL 60076-2156
Phone: 8773816538

GATEWAY PROFESSIONAL SERVICES, PC (NPI# 1144855081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144855081
Entity Type Organization
Organization Name GATEWAY PROFESSIONAL SERVICES, PC
Practice Address 4028 Dempster St Unit 100
Skokie
IL 60076-2156
Mailing Address 55 E Jackson Blvd Ste 1500
Chicago
IL 60604-4184
Practice Telephone 8773816538
Mailing Telephone 3126631130
Mailing Fax Number 3126630504
Enumeration Date 2020-03-11
Last Update Date 2020-07-17
Authorized Official Name JOSEPH ZIEBA (MANAGER OF MANAGED CARE CONTRACTING)
Authorized Official Telephone 3126631130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194363408 Gateway Professional Services, PC Counselor 1 Bronze Pointe Blvd Ste 1, Swansea, IL 62226-1045 2019-12-17
1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
1891333977 Gateway Professional Services, PC Counselor 2323 Stevenson Dr, Springfield, IL 62703-4331 2019-12-19
1144868407 Gateway Professional Services, PC Counselor 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2019-12-18
1225676588 Gateway Professional Services, PC Counselor 415 N Dearborn St Ste 510, Chicago, IL 60654-4659 2019-12-18
1497393839 Gateway Professional Services, PC Counselor 1419 Essington Rd, Joliet, IL 60435-2873 2019-12-17
1306484621 Gateway Professional Services, PC Counselor 222 S Greenleaf St, Gurnee, IL 60031-5705 2019-12-17
1194363564 Gateway Professional Services, PC Counselor 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 2019-12-17
1780222000 Gateway Professional Services, PC Counselor 11 S Capitol St, Pekin, IL 61554-4106 2019-12-17
1285272591 Gateway Professional Services, PC Counselor 2200 Lake Victoria Dr, Springfield, IL 62703-5596 2019-12-17

Office Location

Street Address 4028 DEMPSTER ST UNIT 100
City SKOKIE
State IL
Zip Code 60076-2156

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629326483 Alyson Minkus Counselor 5225 Old Orchard Rd Ste 34, Skokie, IL 60077-1027 2012-08-27
1417257882 Shaun Saville Counselor 8720 Lockwood Ave, Skokie, IL 60077-2003 2010-11-01
1710962139 Yevgeniy Isyanov Counselor 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2269 2005-12-08
1730651076 Justin Bozarth Counselor 8324 Skokie Blvd, Skokie, IL 60077-2545 2018-12-27
1013498260 Mikhail Gurovich Counselor 8707 Skokie Blvd, Skokie, IL 60077-2269 2018-08-26
1720511611 Lucien Izraylov Counselor 8707 Skokie Blvd, 207, Skokie, IL 60077-2269 2017-04-06
1720510308 Andrew Gorecki Counselor 8707 Skokie Blvd Ste 207, Skokie, IL 60077-2272 2017-04-01
1891149431 Adam Hellebrand Counselor 4709 Golf Rd Ste 925, Skokie, IL 60076 2016-04-20
1538293543 Julie Berg-einhorn Counselor 5225 Old Orchard Rd, #45, Skokie, IL 60077-4405 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1093322638 New Horizon Mental and Behavioral Services Counselor 12052 S Lockwood Ave, Alsip, IL 60803-3165 2020-09-28
1780299818 Sophia Bilikovsky Counselor 3025 Monterey Ln, Wadsworth, IL 60083-8924 2020-09-15
1497360697 Cassandra Lynn Wegner Counselor 2529 Ravinia Ln, Woodridge, IL 60517-2241 2020-09-14
1831703131 Colleen Mertens Counselor 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 2020-09-03
1073127775 Deborah Lynn Dettman Counselor 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 2020-09-01
1417574203 Kathy O Valentin Counselor 1640 Pleasant Ln, Glenview, IL 60025-1847 2020-06-29
1669098844 James Earl Brooks I Counselor 523 Clark St, South Beloit, IL 61080-1317 2020-06-23
1780200014 Anchorpoint Adolescent Consultant Group Inc. Counselor 1246 N Yale Ave, Arlington Heights, IL 60004-4564 2020-06-23
1891311502 Ashlie Jones Counselor 3226 Hoffman St, Plano, IL 60545-1992 2020-06-18
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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