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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
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 |
Street Address |
4028 DEMPSTER ST UNIT 100 |
City | SKOKIE |
State | IL |
Zip Code | 60076-2156 |
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 |
Find all providers in zip 60076 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.