Organization
ICG SERVICES, LLC
Active
Other names
Spectrum of Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE C BANKHEAD (CEO)
(773) 606-8002
Entity
Organization
Contact information
Practice address
8700 S DANTE AVE, CHICAGO, IL 60619-7118
(773) 347-9075
(312) 924-0669
Mailing address
8700 S DANTE AVE, CHICAGO, IL 60619-7118
(833) 717-4244
(773) 346-7260
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
03/13/2026
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