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Organization

GATEWAY PROFESSIONAL SERVICES, PC

Active
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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
JOSEPH ZIEBA (MANAGER OF MANAGED CARE CONTRACTING)
(312) 663-1130
Entity
Organization

Contact information

Practice address
3040 FINLEY RD STE 220, DOWNERS GROVE, IL 60515-5714
(877) 381-6538
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4184
(312) 502-1816

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/14/2020
Last updated
06/14/2024
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