Ican Community Services Inc. Nfp
NPI #1063702330 in South Holland, Illinois
Provider Information
- NPI Number
- 1063702330
- Entity Type
- Organization
- Organization Name
- Ican Community Services Inc. Nfp
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 7, 2011
- Last Updated
- Dec 22, 2017
Practice Location
- Address
- 15475 S PARK AVE
- Address 2
- SUITE 109
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-1328
- Phone
- (708) 596-5680
Authorized Official
- Name
- ANTHONY OLUJIMI, M.D, MPH
- Title
- PRESIDENT/CEO
- Phone
- (708) 297-8580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Community/Behavioral Health |
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