GATEWAY PROFESSIONAL SERVICES PC NPI 1790323186

NPI Information

  • NPI: 1790323186
  • Provider Name: GATEWAY PROFESSIONAL SERVICES, PC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 3828 W TAYLOR ST
    CHICAGO, IL
    ZIP 60624
  • Phone: (877) 381-6538

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NPI Details

GATEWAY PROFESSIONAL SERVICES, PC is an addiction (substance use disorder) counselor in Chicago, IL. GATEWAY PROFESSIONAL SERVICES, PC NPI is 1790323186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3828 W TAYLOR ST
CHICAGO, IL
ZIP 60624-027
Phone: (877) 381-6538

The provider's authorized official is Roueen Rafeyan .
The authorized official title is President and has the following contact phone number (312) 663-1130.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 6/14/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2261QM0850XClinic/CenterAdult Mental HealthNo

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: 3/30/2025

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