GATEWAY FOUNDATION, INC. (NPI# 1447650056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447650056 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION, INC. |
| Practice Address |
1706 N Kedzie Ave Chicago IL 60647-4910 |
| Mailing Address |
55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 |
| Practice Telephone | 8775054673 |
| Practice Fax Number | 7732270558 |
| Mailing Telephone | 3126631130 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | DR. THOMAS P BRITTON (PRESIDENT & CEO) |
| Authorized Official Telephone | 3126631130 |
| Authorized Official Credential | DRPH,LPC,LCAS,CC |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
A-0538-0018-A | IL | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0538-0018-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1851740559 | Gateway Foundation, Inc. | Clinic/Center | 2323 Stevenson Dr, Springfield, IL 62703-4331 | 2016-06-03 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| 1720326846 | Gateway Foundation, Inc. | Clinic/Center | 444 N Orleans St, Chicago, IL 60654-4994 | 2013-01-24 |
| 1497017677 | Gateway Foundation, Inc. | Clinic/Center | 11 S Capitol St, Pekin, IL 61554-4106 | 2012-06-13 |
| 1679859326 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | Onetiffany Point, Suite 110, Bloomingdale, IL 60108 | 2011-10-26 |
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY FOUNDATION, INC. | 4103 Lac Couture Dr, Harvey, LA 70058-6514 |
| Colorado Business Entities | Gateway Foundation, Inc. | 55 E. Jackson Blvd., Suite 1500, Chicago, IL 60604 |
| Massachusetts Corporations | GATEWAY FOUNDATION, INC. | 55 E. Jackson Blvd., Ste 1500, Chicago, IL 60604 |
| New York State Corporations | GATEWAY FOUNDATION, INC. | One Amy Kay Parkway, Po Box 1000c, Kingston, Ny 12401 |
| Ohio Business Entities | GATEWAY FOUNDATION, INC. | 55 East Jackson, Suite 1500, Chicago, IL 60604 |
| Indiana Business Entities | GATEWAY FOUNDATION, INCORPORATED | 55 E Jackson, Ste 1500, Chicago, IL 60604 |
| Street Address |
1706 N KEDZIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111058 | Gateway Professional Services, PC | Counselor | 1706 N Kedzie Ave, Chicago, IL 60647-4910 | 2019-12-16 |
| 1811485915 | Tekoa Jaddua | Counselor | 1706 N Kedzie Ave, Chicago, IL 60647-4910 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1255977195 | Safer Foundation | Clinic/Center | 6352 W Grand Ave, Chicago, IL 60639-2650 | 2019-11-26 |
| 1063068492 | The Threshold | Clinic/Center | 3015 W Harrison St, Chicago, IL 60612 | 2019-08-12 |
| 1790338150 | Solleys House | Clinic/Center | 4163 S Archer Ave, Chicago, IL 60632-1870 | 2019-07-24 |
| 1366925489 | Lurie Children's Adolescent Substance Abuse and Prevention Progarm | Clinic/Center | 1440 N Dayton St, Chicago, IL 60642-2644 | 2018-09-13 |
| 1710482815 | Gateway Foundation, Inc. | Clinic/Center | 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 | 2018-03-29 |
| 1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
| 1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
| 1437679255 | Sixto Garcia | Clinic/Center | 1100 W. Cermak Rd, Chicago, IL 60608 | 2017-06-22 |
| 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.