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EASTER SEALS DUPAGE AND THE FOX VALLEY REGION NPI 1194122739


NPI Information

NPI: 1194122739
Provider Name: EASTER SEALS DUPAGE AND THE FOX VALLEY REGION

Former Legal Business Name: EASTER SEALS DUPAGE

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
830 S ADDISON AVE
VILLA PARK, IL
ZIP 60181
Phone: (630) 620-4433
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EASTER SEALS DUPAGE AND THE FOX VALLEY REGION is a nurse practitioner in Villa Park, IL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. EASTER SEALS DUPAGE AND THE FOX VALLEY REGION NPI is 1194122739. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Easter Seals Dupage.

The provider's business location address is:

830 S ADDISON AVE
VILLA PARK, IL
ZIP 60181-877
Phone: (630) 620-4433
Fax: (630) 620-1148

The provider's authorized official is Theresa Forthofer .
The authorized official title is President/ceo and has the following contact phone number (630) 282-2024.

The enumeration date for this NPI number is 11/25/2014 and was last updated on 7/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2103TB0200XPsychologistCognitive & BehavioralNo
31041C0700XSocial WorkerClinicalNo
42080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
5231H00000XAudiologistILLINOISNo
6231HA2500XAudiologistAssistive Technology SupplierILLINOISNo
7237600000XAudiologist-Hearing Aid FitterILLINOISNo
8261QR0400XClinic/CenterRehabilitationNo
9363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.