Gateway Services, Inc | |
526 S Bureau Valley Pkwy Suite B Princeton IL 61356-2046 | |
(815) 875-4548 | |
(815) 875-8602 |
Full Name | Gateway Services, Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 526 S Bureau Valley Pkwy, Princeton, Illinois |
Authorized Official Name and Position | Jeffrey M Dean (PRES/CEO) |
Authorized Official Contact | 8158754548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Services, Inc Po Box 535 Princeton IL 61356-0535 Ph: (815) 875-4548 | Gateway Services, Inc 526 S Bureau Valley Pkwy Suite B Princeton IL 61356-2046 Ph: (815) 875-4548 |
NPI Number | 1639600034 |
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Provider Enumeration Date | 03/27/2017 |
Last Update Date | 03/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639600034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 17006 (Illinois) | Primary |
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Ten Broeck Tennessee Physicians Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Princeton, IL 61356 Phone: 815-876-2004 Fax: 815-876-2008 | |
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