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Organization
THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED
Active
Organization
THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED
Active
Other names
The Chicago Lighthouse, Low Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE NIEWINSKI CPB, CPC (MEDICAL BILLING MANAGER)
(312) 666-1331
Entity
Organization
Contact information
Practice address
1850 W ROOSEVELT ROAD, THE CHICAGO LIGHTHOUSE, CHICAGO, IL 60608
(312) 666-1331
(312) 997-3663
Mailing address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1200
(312) 666-1331
(312) 997-3663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
IL
1041C0700X
Clinical Social Worker
—
IL
152W00000X
Optometrist
—
IL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
NULL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
174400000X
Specialist
—
IL
225X00000X
Occupational Therapist
—
IL
225XP0200X
Pediatric Occupational Therapist
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
08/21/2006
Last updated
04/03/2023
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