Ids Group Roselle INC

NPI #1437697455 in Roselle, Illinois

Provider Information

NPI Number
1437697455
Entity Type
Organization
Organization Name
Ids Group Roselle INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 9, 2017
Last Updated
Feb 9, 2017

Practice Location

Address
644 E IRVING PARK RD
ZIP Code
60172-2303
Phone
(847) 668-8969

Authorized Official

Name
MR. DAVID C IDERAN, LCPC
Title
PRESIDENT
Phone
(847) 668-8969

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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