Organization
GATEWAY FAMILY SERVICES OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL REMOLE (CEO/PRESIDENT)
(217) 488-8006
Entity
Organization
Contact information
Practice address
7757 US ROUTE 136, POTOMAC, IL 61865-3047
(217) 488-8006
(217) 987-6386
Mailing address
7757 US ROUTE 136, POTOMAC, IL 61865-3047
(217) 488-8006
(217) 987-6386
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/26/2022
Last updated
09/21/2024
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