Organization
THE IDS GROUP CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATECHIA HESTER LPC, CADC (OWNER)
(312) 263-1131
Entity
Organization
Contact information
Practice address
1117 N ASHLAND AVE, CHICAGO, IL 60622-3986
(312) 263-1131
Mailing address
5161 S LAPORTE AVE # 1N, CHICAGO, IL 60638-3060
(708) 935-1821
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-2779-0001-A
IL
Other
Enumeration date
02/25/2018
Last updated
02/25/2018
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