Organization
ICAN COMMUNITY SERVICES INC. NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY OLUJIMI MD,MPH,CADC (CEO)
(708) 596-5680
Entity
Organization
Contact information
Practice address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
(708) 596-5680
(708) 596-5687
Mailing address
15475 S PARK AVE STE 109, SOUTH HOLLAND, IL 60473-1377
(708) 596-5680
(708) 596-5687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
17009
IL
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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