NPIMap

Organization Active NPI

Chicago Lighthouse

  • Pediatric Occupational Therapist
  • Chicago, IL
National Provider Identifier
1669690038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CHICAGO LIGHTHOUSE
Practice address
1850 W Roosevelt Rd
Chicago, IL 60608-1228
Phone
(312) 666-1331
Fax
(312) 506-0103
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary ZabelskiNPI 1912028150
Title
Director of Chilcren Services
Phone
(312) 666-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

1850 W Roosevelt Rd
Chicago, IL 60608-1228

Mailing address

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

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

Other organizations with this tax ID 2

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

Locations

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669690038",
    "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": "606081228",
            "telephone_number": "312-666-1331",
            "fax_number": "312-506-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZABELSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF CHILCREN SERVICES",
        "authorized_official_telephone_number": "312-666-1331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.