GATEWAY INTERVENTIONAL SURGERY CENTER NPI 1376710848

NPI Information

NPI: 1376710848
Provider Name: GATEWAY INTERVENTIONAL SURGERY CENTER
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
215 REMINGTON BLVD
SUITE G
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 226-1322
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GATEWAY INTERVENTIONAL SURGERY CENTER is a pain clinic center in Bolingbrook, IL. GATEWAY INTERVENTIONAL SURGERY CENTER NPI is 1376710848. The provider is registered as an organization entity type.

The provider's business location address is:

215 REMINGTON BLVD
SUITE G
BOLINGBROOK, IL
ZIP 60440-656
Phone: (630) 226-1322
Fax: (630) 226-1134

The provider's authorized official is Daniel Cha .
The authorized official title is Owner and has the following contact phone number (630) 226-1322.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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