Gateway Professional Services, Pc

LBN: Gateway Professional Services, Pc
Gateway Professional Services, Pc is an health care organization with primary practice located at 2200 Lake Victoria Dr , Springfield IL 62703-5596. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Gateway Professional Services, Pc can be contacted via phone (877) 381-6538, or through Rafeyan, Roueen via phone (312) 663-1130.

Contact Information

Primary practice address
2200 Lake Victoria Dr Springfield IL 62703-5596
Phone: (877) 381-6538
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rafeyan, Roueen
Phone: (312) 663-1130

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1285272591
LBN Legal business name Gateway Professional Services, Pc
DBA Doing business as
Authorized official Rafeyan, Roueen
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 17th, 2019
Last updated Jun 14th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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