OrganizationActive
Gateway Foundation, Inc.
NPI 1477849909 · Substance Abuse Rehabilitation Facility · Caseyville, IL
Provider details
- NPI number
- 1477849909
- 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
- License
- A-0538-0044-A (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
600 W. Lincoln Street
East
Caseyville, IL 62232
Phone: (618) 345-3970
Fax: (618) 345-3970
Approximate (ZIP-level) locationGet directions
Mailing address
55 E. Jackson Blvd.
Chicago, IL 60604
Registry dates
- Enumerated
- 2011-06-23
- 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.