NPI 1063373835

Lighthouse Recovery

Organisation Addiction Medicine (Preventive Medicine) Physician St Charles, IL

Practice location

Address: 210 S 5th St STE 10, St Charles, IL 60174-2700
Phone: (630) 677-5982

Authorised official

Name: Martin Keifer
Title: Owner
Phone: (630) 940-2468

Registered specialties

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

Other Preventive Medicine providers in Illinois →

Registry record

NPI: 1063373835
Entity type: Organization
NPI issued: 20 Nov 2025
Record last updated: 2 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.