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NPI Code Detail

MEDICARE: CHICAGO LIGHTHOUSE

MEDICARE: CHICAGO LIGHTHOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1669690038
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICAGO LIGHTHOUSE
Provider Business Mailing Address
First Line : 1850 W ROOSEVELT RD
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1228
Country : US
Telephone Number : 312-666-1331
Fax Number : 312-506-0103
Provider Business Practice Location Address
First Line : 1850 W ROOSEVELT RD
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1228
Country : US
Telephone Number : 312-666-1331
Fax Number : 312-506-0103
Authorized Official
Title or Position : DIRECTOR OF CHILCREN SERVICES
Name : MRS. MARY ZABELSKI
Credential :
Telephone Number : 312-666-1331
Provider Enumeration Date : 04/23/2007
Last Update Date : 08/22/2020

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Directions to “CHICAGO LIGHTHOUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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