OrganizationActive
Gateway Family Services of Illinois
NPI 1609514801 · Adolescent and Children Mental Health Clinic/Center · Potomac, IL
Provider details
- NPI number
- 1609514801
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Remole, Ceo/President(217) 488-8006
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7757 US Route 136
Potomac, IL 61865-3047
Phone: (217) 488-8006
Fax: (217) 987-6386
Approximate (ZIP-level) locationGet directions
Mailing address
7757 US Route 136
Potomac, IL 61865-3047
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2024-09-21
- Certified
- 2024-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.