Organization
LIGHTHOUSE RECOVERY
Active
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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