| Gateway Foundation, Inc. | |
|
25480 W Cedar Crest Ln Lake Villa IL 60046-9744 | |
| (877) 505-4673 | |
| (847) 356-3033 |
| Full Name | Gateway Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 25480 W Cedar Crest Ln, Lake Villa, Illinois |
| Authorized Official Name and Position | Renee Ennis Mcgee (MANAGER) |
| Authorized Official Contact | 6784454833 |
| 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. 25480 W Cedar Crest Ln Lake Villa IL 60046-9744 Ph: (877) 505-4673 |
| NPI Number | 1285883710 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285883710 | NPI | - | NPPES |
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