EASTER SEALS DUPAGE AND THE FOX VALLEY REGION (NPI# 1194122739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194122739 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS DUPAGE AND THE FOX VALLEY REGION |
| Other Organization Name | EASTER SEALS DUPAGE |
| Practice Address |
830 S Addison Ave Villa Park IL 60181-2877 |
| Practice Telephone | 6306204433 |
| Practice Fax Number | 6306201148 |
| Mailing Telephone | 6306204433 |
| Mailing Fax Number | 6306201148 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | MRS. THERESA FORTHOFER (PRESIDENT/CEO) |
| Authorized Official Telephone | 6302822024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | IL | Speech, Language and Hearing Service Providers | |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
IL | Speech, Language and Hearing Service Providers | |
| N | 237600000X | Audiologist-Hearing Aid Fitter | IL | Speech, Language and Hearing Service Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Easter Seals DuPage | Former Legal Business Name - Organization |
| Easterseals DuPage & Fox Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460681 | Easter Seals Dupage and The Fox Valley Region | Psychologist | 830 S. Addison Avenue, Villa Park, IL 60181 | 2005-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTER SEALS DUPAGE AND THE FOX VALLEY REGION | 830 S Addison Ave, Villa Park, IL 60181-2877 |
| Street Address |
830 S ADDISON AVE |
| City | VILLA PARK |
| State | IL |
| Zip Code | 60181-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730105990 | Karyn Louise Voels Malesevic | Audiologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2006-07-14 |
| 1871191767 | Megan Nicole Stermetz | Speech-Language Pathologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2020-10-13 |
| 1114533080 | Jihyun Jung | Speech-Language Pathologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2020-09-16 |
| 1063062289 | Grant P Lehman | Physical Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2019-09-19 |
| 1164071429 | Megan F Bush | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2019-09-10 |
| 1942858899 | Abigail Lillian Jacob | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2019-09-03 |
| 1881248474 | Lauren Aubrey Hammer | Speech-Language Pathologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2019-07-31 |
| 1386113496 | Ellyson Harrell | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2018-11-19 |
| 1740760230 | Lauren Conway | Occupational Therapist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2018-08-15 |
| 1255826954 | Joanna Maria Nasiadka | Speech-Language Pathologist | 830 S Addison Ave, Villa Park, IL 60181-2877 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820812 | Molly Ahitow | Pharmacist | 900 Il-83, Villa Park, IL 60181 | 2020-10-30 |
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1720600992 | Mariam Ali | Pharmacist | 900 S. Rt 83, Villa Park, IL 60181 | 2020-05-11 |
| 1255970067 | Lifecare Pharmacy Plus LLC | Pharmacy | 1634 Ardmore Ave, Villa Park, IL 60181 | 2019-12-26 |
| 1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
| 1114499928 | Next Step Physiotherapy LLC | Clinic/Center | 1 Parkview Plaza, Oakbrook Terrace, IL 60181 | 2018-12-19 |
| 1912482654 | Avertrail Dialysis LLC | Clinic/Center | 196 W. North Avenue, Villa Park, IL 60181 | 2018-09-28 |
| 1922588581 | Neeliyara Inc | Psychologist | 1s045 Spring Road, Unit 1g, Oakbrook Terrace, IL 60181 | 2018-08-14 |
| 1588168439 | Deborah Marie Adolfino | Pedorthist | 1s376 Summit Ave., Ct. E, Oakbrook Terrace, IL 60181 | 2018-03-23 |
| Find all providers in zip 60181 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | VILLA PARK |
| Zip Code | 60181 |
Please comment or provide details below to improve the information on EASTER SEALS DUPAGE AND THE FOX VALLEY REGION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.