Organization Active NPI

The Chicago Lighthouse for People Who Are Blind Or Visually Impaired

  • School Social Worker
  • Chicago, IL
National Provider Identifier
1093921603
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED
Practice address
1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone
(847) 510-2053
Fax
(312) 506-0103
NPI assigned
May 14, 2007
Organization subpart
Yes
Parent organization
THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIREDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marla Garstka
Title
Director
Phone
(847) 510-2053

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X Primary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1850 W Roosevelt Rd
Chicago, IL 60608-1200

Mailing address

1850 W Roosevelt Rd
Chicago, IL 60608-1228
Phone (312) 666-1331

Other names 1

  • Birth-to-Three Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired3 organizations share this tax ID, including this one
Part of
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1093921603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081228",
            "telephone_number": "312-666-1331",
            "fax_number": "312-506-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "847-510-2053",
            "fax_number": "312-506-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "GARSTKA",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-510-2053"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birth-to-Three Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.