Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNAN M GATEWOOD
Active Sole ProprietorJENNAN M GATEWOOD is a Early Intervention Provider Agency healthcare provider located in ALHAMBRA, Illinois. NPI 1285085118 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · ALHAMBRA, IL
Registration Details
- NPI Number
- 1285085118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2016 (10.128750549479 yrs)
- Last Updated
- Jun 15, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
5831 GEIGER RDALHAMBRA, IL, 620012227Browse IL providers · Browse ZIP 62001
- Phone
- 6189784427
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.