# EASTER SEALS DUPAGE AND THE FOX VALLEY REGION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Easter Seals DuPage, Easterseals DuPage & Fox Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194122739
- **Authorized official:** MRS. THERESA FORTHOFER (PRESIDENT/CEO)
- **Authorized official phone:** (630) 282-2024

## Contact information

- **Practice address:** 830 S ADDISON AVE, VILLA PARK, IL 60181-2877
- **Practice address phone:** (630) 620-4433
- **Practice address fax:** (630) 620-1148
- **Mailing address:** 830 S ADDISON AVE, VILLA PARK, IL 60181-2877
- **Mailing address phone:** (630) 620-4433
- **Mailing address fax:** (630) 620-1148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | NULL | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 231H00000X | Audiologist | — | IL | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | — | IL | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | IL | — |

## Other

- **Enumeration date:** 11/25/2014
- **Last updated:** 09/17/2024