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Organization
GATEWAY PROFESSIONAL SERVICES, PC
Active
Organization
GATEWAY PROFESSIONAL SERVICES, PC
Active
Parent organization
GATEWAY PROFESSIONAL SERVICES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY PROFESSIONAL SERVICES, PC
Authorized official
DR. ROUEEN RAFEYAN (PRESIDENT)
(312) 663-1130
Entity
Organization
Contact information
Practice address
2323 STEVENSON DR, SPRINGFIELD, IL 62703-4331
(877) 381-6538
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4184
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/19/2019
Last updated
06/14/2024
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