| The Ids Group | |
|
644 E Irving Park Rd Roselle IL 60172-2303 | |
| (630) 893-8470 | |
| Not Available |
| Full Name | The Ids Group |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 644 E Irving Park Rd, Roselle, Illinois |
| Authorized Official Name and Position | David Charles Ideran (DIRECTOR) |
| Authorized Official Contact | 6308938470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ids Group 644 E Irving Park Rd Roselle IL 60172-2303 Ph: (630) 893-8470 | The Ids Group 644 E Irving Park Rd Roselle IL 60172-2303 Ph: (630) 893-8470 |
| NPI Number | 1598211021 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598211021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A31870006A (Illinois) | Primary |
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