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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
103TC0700X
Clinical Psychologist
IL
1041C0700X
Clinical Social Worker
IL
152W00000X
Optometrist
IL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
174400000X
Specialist
IL
225X00000X
Occupational Therapist
IL
225XP0200X
Pediatric Occupational Therapist
IL
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1111300
BLUE CROSS AND BLUE SHIELD OF ILLINOIS
IL
01
1831182377
NPI
IL
Enumeration date
08/21/2006
Last updated
04/03/2023
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