Organization · Type 2 NPI
Lighthouse Recovery
Addiction Medicine (Preventive Medicine) Physician · St. Charles, IL
NPI number
1063373835
Active
Practice location
210 S 5th St Ste 10
St. Charles, IL 60174-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Another provider at this address
Other addiction medicine (preventive medicine) physician providers in St. Charles
About NPI 1063373835
Lighthouse Recovery's National Provider Identifier is 1063373835, issued on Nov 20, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in St. Charles, IL. The record was last updated on Dec 2, 2025.