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).
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 |
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 |
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 |
Street Address |
1300 LINCOLN AVE |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-3112 |
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 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
City | JACKSONVILLE |
Zip Code | 62650 |
Please comment or provide details below to improve the information on GATEWAY PROFESSIONAL SERVICES, PC.
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.