# EASTER SEALS CHILDREN'S DEVELOPMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821042474
- **Authorized official:** MS. BARBARA ZAWACKI (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (312) 491-4131

## Contact information

- **Practice address:** 650 N MAIN ST, ROCKFORD, IL 61103-6921
- **Practice address phone:** (815) 965-6745
- **Practice address fax:** (815) 965-6021
- **Mailing address:** 650 N MAIN ST, ROCKFORD, IL 61103-6921
- **Mailing address phone:** (815) 965-6745
- **Mailing address fax:** (815) 965-6021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070002098 | IL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 01/26/2009