| Gateway Professional Services, Pc | |
|
404 N Hershey Rd Ste B Bloomington IL 61704-3560 | |
| (877) 381-6538 | |
| Not Available |
| Full Name | Gateway Professional Services, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 404 N Hershey Rd Ste B, Bloomington, Illinois |
| Authorized Official Name and Position | Jeremy K Klemanski (CEO) |
| Authorized Official Contact | 3126631130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Professional Services, Pc 55 E Jackson Blvd Chicago IL 60604-4466 Ph: (312) 663-1130 | Gateway Professional Services, Pc 404 N Hershey Rd Ste B Bloomington IL 61704-3560 Ph: (877) 381-6538 |
| NPI Number | 1568164341 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568164341 | NPI | - | NPPES |
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