GATEWAY FOUNDATION INC. (NPI# 1972968121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972968121 |
| Entity Type | Organization |
| Organization Name | GATEWAY FOUNDATION INC. |
| Practice Address |
3828 W Taylor St Chicago IL 60624-4027 |
| Mailing Address |
55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 |
| Practice Telephone | 7738261916 |
| Practice Fax Number | 7738262707 |
| Mailing Telephone | 3126631130 |
| Mailing Fax Number | 3126630504 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | MR. THOMAS P BRITTON (PRESIDENT/CEO) |
| Authorized Official Telephone | 3126631130 |
| Authorized Official Credential | DRPH, LPC, LCAS, |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725704 | Gateway Foundation Inc. | Clinic/Center | 222 S Greenleaf St, Gurnee, IL 60031-5705 | 2016-12-30 |
| 1689125924 | Gateway Foundation Inc. | Clinic/Center | 1419 Essington Rd, Joliet, IL 60435-2873 | 2016-10-21 |
| 1699130849 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1417312661 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1508221755 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln, Lake Villa, IL 60046-9744 | 2015-12-15 |
| 1144685397 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 400 Mercy Ln, Aurora, IL 60506-2447 | 2015-12-15 |
| 1053776203 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 600 W Lincoln Ave, Caseyville, IL 62232-1329 | 2015-12-15 |
| 1699130856 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2015-12-15 |
| 1922473354 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 100 Sunnyside Rd, Pickett Building, 1st Floor, Smyrna, DE 19977-1752 | 2015-12-10 |
| 1477963247 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 4049 Miller Way, Sacramento, CA 95817-1332 | 2014-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Gateway Foundation Inc. | 55 E Jackson Blvd Ste 1500, Chicago, Illinois 60604-4184 |
| Street Address |
3828 W TAYLOR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790970689 | Stacy April Lott | Student in an Organized Health Care Education/Training Program | 3828 W Taylor St, Chicago, IL 60624-4027 | 2007-09-13 |
| 1790323186 | Gateway Professional Services, PC | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2019-12-16 |
| 1205306560 | Aida Jusufovic | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-11-29 |
| 1710455704 | Kerren Lloyd | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-11-07 |
| 1982171922 | Michael Mahoney | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-29 |
| 1013484070 | Ruben Morales | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-29 |
| 1730654880 | Brenda Brown | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-04 |
| 1801379771 | Angela Osting | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-09-07 |
| 1326520420 | Gilbert Lichstein | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-09-05 |
| 1063900926 | Tanika C Cook | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 1891296802 | The Ids Group Chicago | Substance Abuse Rehabilitation Facility | 1117 N Ashland Ave, Chicago, IL 60622-3986 | 2018-02-25 |
| 1548774961 | Prentice Place | Substance Abuse Rehabilitation Facility | 255 W 112th Pl, Chicago, IL 60628-4132 | 2017-11-21 |
| 1821537739 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 28 W 113th Pl, Chicago, IL 60628-4811 | 2017-02-13 |
| 1538608443 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 44 W 112th Pl, Chicago, IL 60628-4806 | 2017-02-13 |
| 1093254906 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 139 W 112th St, Chicago, IL 60628-4803 | 2017-02-13 |
| 1083152359 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 103 W 112th St, Chicago, IL 60628-4803 | 2017-02-07 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| 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.