Organization · Type 2 NPI

Inner-City Muslim Action Network

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1437672433 Active

Practice location

2749 W 63rd St
Chicago, IL 60629-2342

Call (773) 434-4626 Map

Fax (773) 303-8858

Mailing address

2744 W 63rd St
Chicago, IL 60629-2343

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Inner-City Muslim Action NetworkFederally Qualified Health Center (FQHC) Chicago, IL NPI 1396238937
Jessica Lynn Good, LCSWClinical Social Worker Chicago, IL NPI 1437911310

Other federally qualified health center (fqhc) providers in Chicago

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NPI record

NPI: 1437672433
Entity type: Organization (Type 2)
Issued: Jul 21, 2017
Last updated: May 2, 2018
Status: Active

Other names

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Iman Youth and Family Health Center · doing business as
Iman Youth and Family Health Center · doing business as

Authorized official

Rami Nashashibi, PhD
Executive Director
(773) 434-4626

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About NPI 1437672433

Inner-City Muslim Action Network's National Provider Identifier is 1437672433, issued on Jul 21, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on May 2, 2018.