Ican Community Services Inc. Nfp
NPI 1063702330 · Community/Behavioral Health Agency · South Holland, IL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ican Community Services Inc. Nfp is a Community/Behavioral Health Agency organization in South Holland, IL (NPI 1063702330).
Provider details
- NPI number
- 1063702330
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anthony Olujimi, President/Ceo(708) 297-8580
- License
- A-5212-0001-A (IL)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-07
- Last updated
- 2017-12-22
Frequently asked questions
- What is Ican Community Services Inc. Nfp's NPI number?
- Ican Community Services Inc. Nfp's National Provider Identifier (NPI) is 1063702330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ican Community Services Inc. Nfp?
- Ican Community Services Inc. Nfp is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Ican Community Services Inc. Nfp located?
- Ican Community Services Inc. Nfp's practice location on file with NPPES is 15475 S Park Ave, South Holland, IL 60473-1328.
- What is Ican Community Services Inc. Nfp's phone number?
- The practice phone number listed in the NPPES registry for Ican Community Services Inc. Nfp is (708) 596-5680.
- Does Ican Community Services Inc. Nfp accept Medicare?
- Ican Community Services Inc. Nfp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ican Community Services Inc. Nfp?
- The authorized official listed on Ican Community Services Inc. Nfp's NPPES record is Anthony Olujimi, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ican Community Services Inc. Nfp's NPI active?
- Yes — Ican Community Services Inc. Nfp's NPI (1063702330) is active in the NPPES registry as of the last update on 2017-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.