Healthcare Provider Details

I. General information

NPI: 1346694049
Provider Name (Legal Business Name): THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2016
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W ROOSEVELT RD
CHICAGO IL
60608-1200
US

IV. Provider business mailing address

1850 W ROOSEVELT RD
CHICAGO IL
60608-1200
US

V. Phone/Fax

Practice location:
  • Phone: 312-666-1331
  • Fax: 312-997-3650
Mailing address:
  • Phone: 312-666-1331
  • Fax: 312-997-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JANET SZLYK
Title or Position: PRESIDENT CEO
Credential:
Phone: 312-666-1331