Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ican Community Services Inc Nfp

Organization Community/Behavioral Health Agency · NPI 1063702330

Ican Community Services Inc Nfp is a Community/Behavioral Health Agency in South Holland, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15475 S Park Ave Ste 109
South Holland, IL 60473-1328
Phone: (708) 596-5680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence A-5212-0001-A (IL)
Methadone Clinic Taxonomy 261QM2800X · Licence A-5212-0001-A (IL)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence A-5212-0001-A (IL)

Record details

NPI number1063702330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Olujimi — President/Ceo · (708) 297-8580
NPI enumeratedApril 7, 2011
Last updated in NPPESDecember 22, 2017
Mailing address15475 S Park Ave, Suite 109, South Holland, IL 60473-1328

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