Active NPI
The Ids Group Chicago
- Substance Abuse Rehabilitation Facility
- Chicago, IL
National Provider Identifier
1891296802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- A-2779-0001-A
- Legal business name
- THE IDS GROUP CHICAGO
- Practice address
- 1117 N Ashland Ave
Chicago, IL 60622-3986 - Phone
- (312) 263-1131
- NPI assigned
- Feb 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latechia Hester, LPC, CADC
- Title
- Owner
- Phone
- (312) 263-1131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | A-2779-0001-A | IL | Primary |
Addresses
Primary practice location
1117 N Ashland Ave
Chicago, IL 60622-3986
Mailing address
5161 S Laporte Ave # 1N
Chicago, IL 60638-3060
Phone (708) 935-1821
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Berwyn, IL
- NPI 1548843808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519516800000",
"number": "1891296802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5161 S LAPORTE AVE # 1N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606383060",
"telephone_number": "708-935-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223986",
"telephone_number": "312-263-1131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE IDS GROUP CHICAGO",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-25",
"last_updated": "2018-02-25",
"status": "A",
"authorized_official_last_name": "HESTER",
"authorized_official_first_name": "LATECHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-263-1131",
"authorized_official_credential": "LPC, CADC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "IL",
"license": "A-2779-0001-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.