| Gateway Foundation, Inc- Cmhc | |
|
3040 Finley Rd Ste 220 Downers Grove IL 60515-5714 | |
| (877) 381-6538 | |
| Not Available |
| Full Name | Gateway Foundation, Inc- Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3040 Finley Rd Ste 220, Downers Grove, Illinois |
| Authorized Official Name and Position | Latina Russell (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3126631130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Foundation, Inc- Cmhc 55 E Jackson Blvd Chicago IL 60604-4466 Ph: () - | Gateway Foundation, Inc- Cmhc 3040 Finley Rd Ste 220 Downers Grove IL 60515-5714 Ph: (877) 381-6538 |
| NPI Number | 1164263893 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164263893 | NPI | - | NPPES |
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