Icg Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ICG SERVICES, LLC

Doing business as

Spectrum of Smiles

Practice address

8700 S Dante Ave
Chicago, IL 60619-7118

Phone

(773) 347-9075

Fax

(312) 924-0669

NPI assigned

Aug 23, 2022

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jasmine C BankheadNPI 1215798038

Title

Ceo

Phone

(773) 606-8002

Specialties & licenses 2

Addresses

Other names 1

• Spectrum of Smiles Doing business as

Electronic endpoints 1

Tax ID family

Icg Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Icg Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland, IN
  • NPI 1609729854
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine Camille Bankhead, ED.D., R.N.

  • Registered Nurse
  • Chicago, IL
  • NPI 1215798038

  Behavior Technician

  NPD Authorized official
• Imani D Robinson

  • Behavior Analyst
  • South Holland, IL
  • NPI 1699454363
  NPD (past)
• Jacqueline Weems, BCBA

  • Behavior Analyst
  • Woodridge, IL
  • NPI 1912540113
  NPD (past)
• Phillip A. Wilburn, LCSW

  • Clinical Social Worker
  • Crown Point, IN
  • NPI 1720005440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1659090827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197118",
            "telephone_number": "833-717-4244",
            "fax_number": "773-346-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197118",
            "telephone_number": "773-347-9075",
            "fax_number": "312-924-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 Highway Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221661",
            "country_code": "US",
            "telephone_number": "773-347-9075",
            "fax_number": "312-924-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICG SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-606-8002"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "intrinsichomecare.clearcareonline.com",
            "affiliation": "Y",
            "affiliationName": "Intrinsic Home Care, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "intrinsichomecare.clearcareonline.com",
            "address_1": "5113 S Harper Ave Ste 2C",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606154119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spectrum of Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.