Healthcare Provider Details

I. General information

NPI: 1457237927
Provider Name (Legal Business Name): I CAN HEAR U NOW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13811 WESTERN AVE
BLUE ISLAND IL
60406-3228
US

IV. Provider business mailing address

13811 WESTERN AVE
BLUE ISLAND IL
60406-3228
US

V. Phone/Fax

Practice location:
  • Phone: 773-552-4120
  • Fax: 708-816-5514
Mailing address:
  • Phone: 773-552-4120
  • Fax: 708-816-5514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEO W LAVENDER
Title or Position: OWNER/THERAPIST
Credential: PSY. D, LCSW
Phone: 773-552-4120