Organization
GATEWAY TO LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN HENNELLY (EXECUTIVE DIRECTOR)
(773) 784-3200
Entity
Organization
Contact information
Practice address
4925 N LINCOLN AVE, CHICAGO, IL 60625-2609
(773) 784-3200
(773) 784-3299
Mailing address
4925 N LINCOLN AVE, CHICAGO, IL 60625-2609
(773) 784-3200
(773) 784-3299
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20150720817620
—
IL
Enumeration date
08/11/2015
Last updated
07/21/2022
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