# THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Chicago Lighthouse, Low Vision Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043326309
- **Authorized official:** GABRIELLE NIEWINSKI CPB, CPC (MEDICAL BILLING MANAGER)
- **Authorized official phone:** (312) 666-1331

## Contact information

- **Practice address:** 1850 W ROOSEVELT ROAD, THE CHICAGO LIGHTHOUSE, CHICAGO, IL 60608
- **Practice address phone:** (312) 666-1331
- **Practice address fax:** (312) 997-3663
- **Mailing address:** 1850 W ROOSEVELT RD, CHICAGO, IL 60608-1200
- **Mailing address phone:** (312) 666-1331
- **Mailing address fax:** (312) 997-3663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | IL | — |
| 1041C0700X | Clinical Social Worker | — | IL | — |
| 152W00000X | Optometrist | — | IL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | Yes |
| 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