OrganizationActive
Icg Services, LLC
NPI 1659090827 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1659090827
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jasmine Bankhead, Ceo(773) 606-8002
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
8700 S Dante Ave
Chicago, IL 60619-7118
Phone: (773) 347-9075
Fax: (312) 924-0669
Approximate (ZIP-level) locationGet directions
Mailing address
8700 S Dante Ave
Chicago, IL 60619-7118
Other names (DBA / former)
- Doing business as
- Spectrum of Smiles
Additional practice locations (1)
- 2646 Highway AveHighland, IN 46322-1661Phone: (773) 347-9075Fax: (312) 924-0669
Registry dates
- Enumerated
- 2022-08-23
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.