OrganizationActive
Ican Dream Center Nfp
NPI 1114415080 · Community/Behavioral Health Agency · Hazel Crest, IL
Ican Dream Center Nfp is a Community/Behavioral Health Agency organization in Hazel Crest, IL (NPI 1114415080).
Provider details
- NPI number
- 1114415080
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Evisha Ford, Director(708) 307-0440
Specialties & taxonomies
Agencies
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
17512 E Carriageway Dr
Hazel Crest, IL 60429-2091
Phone: (708) 798-4200
Street-level locationGet directions
Mailing address
17512 E Carriageway Dr
Hazel Crest, IL 60429-2091
Registry dates
- Enumerated
- 2018-04-26
- Last updated
- 2018-04-26
Frequently asked questions
- What is Ican Dream Center Nfp's NPI number?
- Ican Dream Center Nfp's National Provider Identifier (NPI) is 1114415080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ican Dream Center Nfp?
- Ican Dream Center Nfp is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Ican Dream Center Nfp located?
- Ican Dream Center Nfp's practice location on file with NPPES is 17512 E Carriageway Dr, Hazel Crest, IL 60429-2091.
- What is Ican Dream Center Nfp's phone number?
- The practice phone number listed in the NPPES registry for Ican Dream Center Nfp is (708) 798-4200.
- Who is the authorized official for Ican Dream Center Nfp?
- The authorized official listed on Ican Dream Center Nfp's NPPES record is Evisha Ford, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ican Dream Center Nfp's NPI active?
- Yes — Ican Dream Center Nfp's NPI (1114415080) is active in the NPPES registry as of the last update on 2018-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.