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GATEWAY FOUNDATION INC.
NPI 1417312661
Substance Abuse Rehabilitation Facility in Lake Villa, IL

Active since December 15, 2015
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046(847) 356-8205(847) 356-3033 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2021, Sep 24, 2018, Dec 15, 2015 (3 updates tracked since 2015).

About Gateway Foundation Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY FOUNDATION INC. (NPI 1417312661) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Villa, Illinois and active in the NPI registry since December 2015. The organization lists Latina Russell, Contract And Cred Specialist, as its authorized official.

NPPES Registry Identity

NPI1417312661
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGATEWAY FOUNDATION INC.
Location Address25480 W CEDAR CREST LNLake Villa, IL 60046-9744
Mailing Address55 E Jackson Blvd, Suite 1500Chicago, IL 60604-4466 · (312) 666-1130 · Fax (312) 663-0504
Phone(847) 356-8205
Fax(847) 356-3033
Organization SubpartYesParent: Gateway Foundation, Inc
Authorized OfficialLatina RussellContract And Cred Specialist · (312) 663-1130
Enumeration DateDecember 15, 2015
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1417312661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

25480 W CEDAR CREST LN, Lake Villa, IL 60046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GATEWAY FOUNDATION INC.
Substance Abuse Rehabilitation Facility
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
DIANNE ROBINSON LCSW
Social Worker (Clinical)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
EMILY PETERS LPC
Counselor (Professional)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
MATTHEW STALEY LCSW
Social Worker (Clinical)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
PATRICIA CERENIL
Counselor
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
GATEWAY FOUNDATION, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (877) 505-4673
GATEWAY FOUNDATION INC.
Substance Abuse Rehabilitation Facility
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
EEVON SWILLEY LSW
Social Worker
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Foundation Inc.'s NPI number?

The NPI number for Gateway Foundation Inc. is 1417312661. It was assigned to this organization in the NPPES registry on December 15, 2015.

Where is Gateway Foundation Inc. located?

Gateway Foundation Inc. is located at 25480 W Cedar Crest Ln, Lake Villa, IL 60046. The listed phone number is (847) 356-8205.

What is Gateway Foundation Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does Gateway Foundation Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gateway Foundation Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gateway Foundation Inc. was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.