| Organization Name: | EASTER SEALS DUPAGE AND THE FOX VALLEY REGION |
| NPI Number: | 1194122739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA FORTHOFER (PRESIDENT/CEO) |
| Mailing Address: | 830 S Addison Ave Villa Park |
| State: | IL US |
| Postal Code: | 601812877 |
| Phone Number: | 6306204433 |
| Fax Number: | 6306201148 |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Supplier |
| Taxonomy Definition: | |