Provider Demographics
NPI:1871281576
Name:ICARE PSYCHIATRY AND BEHAVIORAL SERVICES PLLC
Entity type:Organization
Organization Name:ICARE PSYCHIATRY AND BEHAVIORAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBABETU
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIMBOLA AKINOLA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:331-321-7220
Mailing Address - Street 1:2601 SPRINGDALE CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8734
Mailing Address - Country:US
Mailing Address - Phone:331-321-7220
Mailing Address - Fax:331-321-7668
Practice Address - Street 1:2601 SPRINGDALE CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8734
Practice Address - Country:US
Practice Address - Phone:331-321-7220
Practice Address - Fax:331-321-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty