| Gateway Foundation, Inc. | |
|
400 Mercy Ln Aurora IL 60506-2447 | |
| (630) 966-7600 | |
| (630) 966-8565 |
| Full Name | Gateway Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 Mercy Ln, Aurora, Illinois |
| Authorized Official Name and Position | Michael Darcy (PRESIDENT AND CEO) |
| Authorized Official Contact | 3126631130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Foundation, Inc. 55 E Jackson Blvd Suite 1500 Chicago IL 60604-4466 Ph: (312) 663-1130 | Gateway Foundation, Inc. 400 Mercy Ln Aurora IL 60506-2447 Ph: (630) 966-7600 |
| NPI Number | 1114176401 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114176401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04149 (Illinois) | Primary |
Gateway Foundation, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Mercy Ln, Aurora, IL 60506 Phone: 877-505-4673 Fax: 630-897-7539 | |
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