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GATEWAY FOUNDATION INC. NPI 1740725704


NPI Information

NPI: 1740725704
Provider Name: GATEWAY FOUNDATION INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
222 S GREENLEAF ST
GURNEE, IL
ZIP 60031
Phone: (877) 505-4673
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GATEWAY FOUNDATION INC. is a rehabilitation and substance use disorder clinic center in Gurnee, IL. GATEWAY FOUNDATION INC. NPI is 1740725704. The provider is registered as an organization entity type.

The provider's business location address is:

222 S GREENLEAF ST
GURNEE, IL
ZIP 60031-705
Phone: (877) 505-4673

The provider's authorized official is Thomas P Britton .
The authorized official title is President/ceo and has the following contact phone number (312) 663-1130.

The enumeration date for this NPI number is 12/30/2016 and was last updated on 12/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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