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THE IDS GROUP NPI 1598211021


NPI Information

NPI: 1598211021
Provider Name: THE IDS GROUP
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
644 E IRVING PARK RD
ROSELLE, IL
ZIP 60172
Phone: (630) 893-8470
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THE IDS GROUP is an addiction (substance use disorder) counselor in Roselle, IL. THE IDS GROUP NPI is 1598211021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

644 E IRVING PARK RD
ROSELLE, IL
ZIP 60172-303
Phone: (630) 893-8470

The provider's authorized official is David Charles Ideran .
The authorized official title is Director and has the following contact phone number (630) 893-8470.

The enumeration date for this NPI number is 8/25/2016 and was last updated on 8/25/2016.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)A31870006AILLINOISYes

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

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