| Lighthouse Beacon, Pllc | |
|
2681 Us Highway 34 Oswego IL 60543-8577 | |
| (779) 706-1095 | |
| Not Available |
| Full Name | Lighthouse Beacon, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2681 Us Highway 34, Oswego, Illinois |
| Authorized Official Name and Position | Mary Marie Ihnenfeld (OWNER) |
| Authorized Official Contact | 6307792045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Beacon, Pllc 2560 Robert Ln Montgomery IL 60538-3352 Ph: (630) 779-2045 | Lighthouse Beacon, Pllc 2681 Us Highway 34 Oswego IL 60543-8577 Ph: (779) 706-1095 |
| NPI Number | 1073495024 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073495024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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