GATEWAY PROFESSIONAL SERVICES, PC


Address: 1300 Lincoln Ave, Jacksonville, IL 62650-3112
Phone: 8773816538

GATEWAY PROFESSIONAL SERVICES, PC (NPI# 1144868407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144868407
Entity Type Organization
Organization Name GATEWAY PROFESSIONAL SERVICES, PC
Practice Address 1300 Lincoln Ave
Jacksonville
IL 62650-3112
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider IDs and Locations

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
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

Office Location

Street Address 1300 LINCOLN AVE
City JACKSONVILLE
State IL
Zip Code 62650-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982081352 Wells Center, Inc Substance Abuse Rehabilitation Facility 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2015-05-05
1396309340 Andrea Rollins Counselor 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2019-04-25
1811499114 Gateway Foundation, Inc. Substance Abuse Rehabilitation Facility 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2018-03-02
1568970663 Gateway Foundation, Inc. Clinic/Center 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2018-01-11
1316325962 Wells Center, Inc Substance Abuse Rehabilitation Facility 1300 Lincoln Ave, Jacksonville, IL 62650-3112 2015-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
Find all providers in zip 62650

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912514670 William George Beasley Jr. Counselor 205 Sherwood Rd, Jacksonville, NC 28540-5534 2020-09-28
1881200053 Sarah M Allen Counselor 307 Angelina St, Jacksonville, TX 75766-9212 2020-09-22
1265048797 Victoria Payne Counselor 7848 Playpen Ct, Jacksonville, FL 32210-1420 2020-09-21
1982234100 Sherree Smith Counselor 934 Lynchburg Dr, Jacksonville, NC 28546-4560 2020-01-16
1982266490 Fernette R Hoag Counselor 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 2019-07-04
1942796347 Gods House of Solomon Counselor 1709 Helena St, Jacksonville, FL 32208-3692 2018-07-09
1295223600 Ronald North Counselor 4427 Emerson St, Jacksonville, FL 32207-4969 2018-05-01
1649768037 Tiffany Angela Yarbough Counselor 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 2018-05-01
1588160303 Julie Margarita Smith Counselor 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 2018-04-02
1689172587 Rittie Ann Ragland Counselor 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 2018-01-25
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 62650

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Dataset Information

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.

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