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GATEWAY PROFESSIONAL SERVICES, PC
NPI 1467208389
Counselor - Addiction (Substance Use Disorder) in Peoria, IL

Active since April 30, 2024
4812 N SHERIDAN RD, PEORIA, IL 61614(877) 381-6538 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About Gateway Professional Services, Pc NPPES

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

GATEWAY PROFESSIONAL SERVICES, PC (NPI 1467208389) is a healthcare organization registered as an addiction (substance use disorder) in Peoria, Illinois and active in the NPI registry since April 2024. The organization lists Latina Russell, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1467208389
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameGATEWAY PROFESSIONAL SERVICES, PC
Location Address4812 N SHERIDAN RDPeoria, IL 61614-5969
Mailing Address55 E Jackson Blvd Ste 1500Chicago, IL 60604-4184 · (312) 663-1130 · Fax (312) 663-0504
Phone(877) 381-6538
Organization SubpartNo
Authorized OfficialLatina RussellCredentialing Specialist · (312) 663-1130
Enumeration DateApril 30, 2024
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1467208389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4812 N SHERIDAN RD, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

GATEWAY FOUNDATION, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
4812 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (877) 381-6538
ANDREA KAY FORGET-SCHNOWSKE DC
Chiropractor
4812 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 689-6200
AL PEORIA, LLC
Chiropractor
4812 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 689-6200
GATEWAY FOUNDATION, INC. - BHC
Clinic/Center (Adult Mental Health)
4812 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (877) 381-6538

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 Professional Services, PC's NPI number?

The NPI number for Gateway Professional Services, PC is 1467208389. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Gateway Professional Services, PC located?

Gateway Professional Services, PC is located at 4812 N Sheridan Rd, Peoria, IL 61614. The listed phone number is (877) 381-6538.

What is Gateway Professional Services, PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gateway Professional Services, PC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.