| Ican Dream Foundation Inc | |
|
18501 Maple Creek Dr Ste 200 Tinley Park IL 60477-6779 | |
| (708) 307-0440 | |
| Not Available |
| Full Name | Ican Dream Foundation Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 18501 Maple Creek Dr Ste 200, Tinley Park, Illinois |
| Authorized Official Name and Position | Evisha Ford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7083070440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ican Dream Foundation Inc 18501 Maple Creek Dr Ste 200 Tinley Park IL 60477-6779 Ph: (708) 307-0440 | Ican Dream Foundation Inc 18501 Maple Creek Dr Ste 200 Tinley Park IL 60477-6779 Ph: (708) 307-0440 |
| NPI Number | 1720973084 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720973084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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