| Easter Seals Dupage And The Fox Valley Region | |
|
830 S Addison Ave Villa Park IL 60181-2877 | |
| (630) 620-4433 | |
| (630) 620-1148 |
| Full Name | Easter Seals Dupage And The Fox Valley Region |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 830 S Addison Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Theresa Forthofer (PRESIDENT/CEO) |
| Authorized Official Contact | 6302822024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Dupage And The Fox Valley Region 830 S Addison Ave Villa Park IL 60181-2877 Ph: (630) 620-4433 | Easter Seals Dupage And The Fox Valley Region 830 S Addison Ave Villa Park IL 60181-2877 Ph: (630) 620-4433 |
| NPI Number | 1194122739 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194122739 | NPI | - | NPPES |
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