Active NPI
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired
- School Social Worker
- Chicago, IL
National Provider Identifier
1093921603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- 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 IMPAIRED
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary | ||
| Vision Therapy Optometrist | 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
National Provider Directory
National Provider Directory- Tax ID family
- The Chicago Lighthouse for People Who Are Blind Or Visually Impaired
- 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.
-
- Pediatric Occupational Therapist
- Chicago, IL
- NPI 1669690038
-
- Developmentally Disabled Services Day Training Agency
- Chicago, IL
- NPI 1346694049
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
- The Chicago Center for Plastic & Reconstructive Surgery, LLC
- The Chicago Foundation for Mental Health
- The Chicago Healing Collective, LLC
- The Chicago Kindness Project, LLC
- The Chicago Lighthouse for People Who Are Blind Or Visually Impaired
- The Chicago Lighthouse for People Who Are Blind Or Visually Impaired
- The Chicago School of Professional Psychology
- The Chicago School of Professional Psychology
- The Chicago Weight Loss Center, LLC
- The Child Project
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.