Organization · Type 2 NPI
Gateway Foundation, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
NPI number
1447650056
Active
Practice location
1706 N Kedzie Ave
Chicago, IL 60647-4910
Fax (773) 227-0558
Mailing address
55 E Jackson Blvd, Suite 1500
Chicago, IL 60604-4466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | A-0538-0018-A (IL) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | A-0538-0018-A (IL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1447650056
Gateway Foundation, Inc.'s National Provider Identifier is 1447650056, issued on Sep 2, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Chicago, IL. The record was last updated on Dec 22, 2021.