GATEWAY PROFESSIONAL SERVICES, PC (NPI# 1306484621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306484621 |
| Entity Type | Organization |
| Organization Name | GATEWAY PROFESSIONAL SERVICES, PC |
| Practice Address |
222 S Greenleaf St Gurnee IL 60031-5705 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 |
| Practice Telephone | 8773816538 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2019-12-17 |
| 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 |
| 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 |
| 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 |
222 S GREENLEAF ST |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268780 | Vibhakar Shantilal Shah | Otolaryngology | 222 S Greenleaf St, Suite No. 109, Gurnee, IL 60031-5705 | 2005-10-12 |
| 1740725704 | Gateway Foundation Inc. | Clinic/Center | 222 S Greenleaf St, Gurnee, IL 60031-5705 | 2016-12-30 |
| 1538475751 | Anita Davidson | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-25 |
| 1649586116 | Jennifer Weber | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1598071078 | Julie Banning | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1790091270 | Tami Ruffner | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1871809343 | Jayne Armondo | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1023324589 | Julie Verhagen | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1457667933 | Melissa Reh | Physical Therapist | 222 S Greenleaf St, Suite 101, Gurnee, IL 60031-5705 | 2010-08-23 |
| 1467647099 | Vibhakar S Shah M.d., S.c. | Specialist | 222 S Greenleaf St, Suite #109, Gurnee, IL 60031-5705 | 2007-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669746160 | Anne L. Lenzy | Counselor | 1700 Wedgewood Dr, #409, Gurnee, IL 60031-1274 | 2012-02-29 |
| 1336419043 | Barb Adams | Counselor | 100 S Greenleaf St, Gurnee, IL 60031-3378 | 2012-01-11 |
| 1154443695 | Daniel L. Foust | Counselor | 135 N Greenleaf St Ste 215, Gurnee, IL 60031-3371 | 2007-04-04 |
| 1679669881 | Robert Wallace Weckler | Counselor | 68 Ambrogio Dr, Gurnee, IL 60031-3339 | 2006-10-05 |
| 1689783847 | Christopher Paul Paluch | Counselor | 68 Ambrogio Dr, Gurnee, IL 60031-3339 | 2006-08-30 |
| 1710952221 | Manjarres and Associates, Inc | Counselor | 135 N Greenleaf St, Suite 201, Gurnee, IL 60031-3393 | 2006-02-18 |
| 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.