GATEWAY PROFESSIONAL SERVICES, PC (NPI# 1225676588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225676588 |
| Entity Type | Organization |
| Organization Name | GATEWAY PROFESSIONAL SERVICES, PC |
| Practice Address |
415 N Dearborn St Ste 510 Chicago IL 60654-4659 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 |
| Practice Telephone | 8773816538 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | DR. ROUEEN RAFEYAN (PRESIDENT) |
| Authorized Official Telephone | 3126631130 |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY PROFESSIONAL SERVICES, PC |
| 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 |
|---|---|---|---|---|
| 1144855081 | Gateway Professional Services, PC | Counselor | 4028 Dempster St Unit 100, Skokie, IL 60076-2156 | 2020-03-11 |
| 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 |
| 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 |
415 N DEARBORN ST STE 510 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1871067702 | Casey Mcdonagh | Social Worker | 415 N Dearborn St Ste 510, Chicago, IL 60654-4659 | 2019-01-14 |
| 1134698459 | Valerie Dorce | Counselor | 415 N Dearborn St Ste 510, Chicago, IL 60654-4659 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1710528518 | Gateway Professional Services, PC | Counselor | 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 | 2019-10-02 |
| 1801447552 | Erika Chawla | Counselor | 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 | 2019-09-24 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1255997987 | Austin Hall | Counselor | 2942 W Lake St, Chicago, IL 60612-1924 | 2019-05-17 |
| 1417418914 | Monica Connelly | Counselor | 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 | 2019-03-27 |
| 1336608439 | Columbus Manor | Counselor | 5107 W Jackson Blvd, Chicago, IL 60644-4316 | 2019-03-18 |
| 1972062958 | Patricia B Flaherty | Counselor | 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 | 2019-03-18 |
| Find all providers in CHICAGO | ||||
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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.