Provider Demographics
NPI:1538634266
Name:IKIGAI
Entity Type:Organization
Organization Name:IKIGAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-372-0019
Mailing Address - Street 1:4208 N CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2020
Mailing Address - Country:US
Mailing Address - Phone:773-497-2001
Mailing Address - Fax:312-253-1413
Practice Address - Street 1:4208 N CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-2020
Practice Address - Country:US
Practice Address - Phone:773-497-2001
Practice Address - Fax:312-253-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health