EASTER SEALS DUPAGE AND THE FOX VALLEY REGION


Address: 830 S. Addison Avenue, Villa Park, IL 60181
Phone: 6306204433

EASTER SEALS DUPAGE AND THE FOX VALLEY REGION (NPI# 1568460681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568460681
Entity Type Organization
Organization Name EASTER SEALS DUPAGE AND THE FOX VALLEY REGION
Other Organization Name EASTER SEALS DUPAGE
Practice Address 830 S. Addison Avenue
Villa Park
IL 60181
Mailing Address 830 S. Addison Avenue
Villa Park
IL 60181-2877
Practice Telephone 6306204433
Practice Fax Number 6306201148
Mailing Telephone 6306204433
Mailing Fax Number 6306201148
Enumeration Date 2005-07-12
Last Update Date 2018-05-16
Authorized Official Name THERESA FORTHOFER (PRESIDENT/CEO)
Authorized Official Telephone 6306204433
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 133N00000X Nutritionist Dietary & Nutritional Service Providers
N 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 231H00000X Audiologist Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
N 261QA3000X Clinic/Center
Specialization: Augmentative Communication
Ambulatory Health Care Facilities
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD GROUP 02215165 01

Other Provider/Organization Names

Other Name Type Code
Easter Seals DuPage Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1316 Bond St Ste 116, Naperville, IL 605636526 6303579699
799 S Mclean Blvd, Elgin, IL 601236702 8477423264

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194122739 Easter Seals Dupage and The Fox Valley Region Counselor 830 S Addison Ave, Villa Park, IL 60181-2877 2014-11-25

Other Data Sources

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

Office Location

Street Address 830 S. ADDISON AVENUE
City VILLA PARK
State IL
Zip Code 60181

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820812 Molly Ahitow Pharmacist 900 Il-83, Villa Park, IL 60181 2020-10-30
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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
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City VILLA PARK
Zip Code 60181

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Dataset Information

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.

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