Organization Active NPI

The Ids Group Chicago

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
National Provider Identifier
1891296802
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A-2779-0001-A Issued in IL
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

Updated by the provider on Feb 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latechia Hester, LPC, CADCNPI 1548843808
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.