NPIMap

Organization Active NPI

Gateway Foundation, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1710482815
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GATEWAY FOUNDATION, INC.
Practice address
315 N Racine Ave FL 5
Chicago, IL 60607-1227
Phone
(312) 464-9451
Fax
(312) 464-9554
NPI assigned
Mar 29, 2018
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GATEWAY FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shanell Amari Smith
Title
Credentialin Specialist
Phone
(312) 663-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

315 N Racine Ave FL 5
Chicago, IL 60607-1227

Mailing address

PO Box 463
Chicago, IL 60690-0463
Phone (312) 663-1130

National Provider Directory

National Provider Directory
Tax ID family
Gateway Foundation Inc - BHC45 organizations share this tax ID, including this one
Part of
Gateway Foundation Inc - BHC

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

315 N Racine Ave
Fl 5
Chicago, IL 60607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1710482815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606900463",
            "telephone_number": "312-663-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N RACINE AVE FL 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071227",
            "telephone_number": "312-464-9451",
            "fax_number": "312-464-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY FOUNDATION, INC.",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "AMARI",
        "authorized_official_title_or_position": "CREDENTIALIN SPECIALIST",
        "authorized_official_telephone_number": "312-663-1130"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.