OrganizationActive
Gateway Foundation Inc.
NPI 1417312661 · Substance Abuse Rehabilitation Facility · Lake Villa, IL
Provider details
- NPI number
- 1417312661
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Gateway Foundation, Inc
- Organization subpart
- Yes
- Authorized official
- Latina Russell, Contract and Cred Specialist(312) 663-1130
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25480 W Cedar Crest Ln
Lake Villa, IL 60046-9744
Phone: (847) 356-8205
Fax: (847) 356-3033
Approximate (ZIP-level) locationGet directions
Mailing address
55 E Jackson Blvd
Chicago, IL 60604-4466
Registry dates
- Enumerated
- 2015-12-15
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.