| Gates Of Hope Professional Corporation | |
|
1525 East 53rd Street Suite #503 Chicago IL 60615 | |
| (708) 837-4673 | |
| Not Available |
| Full Name | Gates Of Hope Professional Corporation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1525 East 53rd Street, Chicago, Illinois |
| Authorized Official Name and Position | Martha Gates (CEO/CLINICAL THERAPIST) |
| Authorized Official Contact | 7088374673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gates Of Hope Professional Corporation 500 Park Avenue Unit #631 Calumet City IL 60409-5034 Ph: (708) 837-4673 | Gates Of Hope Professional Corporation 1525 East 53rd Street Suite #503 Chicago IL 60615 Ph: (708) 837-4673 |
| NPI Number | 1669763017 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669763017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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