Ican Dream Foundation Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ICAN DREAM FOUNDATION INC

Practice address

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779

Phone

(708) 307-0440

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By 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

Dr. Evisha FordNPI 1720570401

Title

Executive Director

Phone

(708) 307-0440

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Evisha Shavonn Ford

  • Clinical Social Worker
  • Tinley Park, IL
  • NPI 1720570401
  NPD Authorized official
• Keturah Brown-Barr, LSW, MSW, PEL

  • School Social Worker
  • Tinley Park, IL
  • NPI 1316821820
  NPD

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1720973084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 MAPLE CREEK DR STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776779",
            "telephone_number": "708-307-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 MAPLE CREEK DR STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776779",
            "telephone_number": "708-307-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN DREAM FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "EVISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-307-0440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim MD SC
• Ibrahim MD SC
• Hassan A Ibrahim, M.D.
• Kareem Ibrahim, APRN
• Nafisa B Ibrahim, MD
• Icare Therapy Services Inc.
• Blessing Ige, RBT
• Przemyslaw J Ilczyk, PT
• Illiana Orthopedics Inc
• Illinois Bone and Joint Institute, LLC

• Adult Mental Health Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.