Organization
LIGHTHOUSE RECOVERY
Active
Parent organization
LIGHTHOUSE RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE RECOVERY
Authorized official
MARTIN KEIFER (OWNER)
(630) 940-2468
Entity
Organization
Contact information
Practice address
210 S 5TH ST STE 10, ST CHARLES, IL 60174-2700
(630) 677-5982
Mailing address
210 S 5TH ST STE 10, ST CHARLES, IL 60174-2700
(630) 940-2468
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
12/02/2025
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