Charles Ideran, D.MIN., LCPC

NPI 1265446652 · on the registry since 2006

Practice

Address: 6006 W. 159th St
Bldg. C
Oak Forest, IL 60452
Phone: (708) 535-7320
Organisation at this address: Vita Noblesse Inc.
Genesis Therapy Center
The Genesis Therapy Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois