Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Recovery

Organization Addiction Medicine (Preventive Medicine) Physician · NPI 1063373835

Lighthouse Recovery is an Addiction Medicine (Preventive Medicine) Physician in St Charles, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

210 S 5th St Ste 10
St Charles, IL 60174-2700
Phone: (630) 677-5982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X

Record details

NPI number1063373835
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLighthouse Recovery
Authorized official Martin Keifer — Owner · (630) 940-2468
NPI enumeratedNovember 20, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address210 S 5th St Ste 10, St Charles, IL 60174-2700

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