Organization · Type 2 NPI

Inner-City Muslim Action Network

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1760975304 Active

Practice location

2744 W 63rd St Bldg 2
Chicago, IL 60629-2343

Call (773) 434-4626 Map

Fax (773) 303-8858

Mailing address

2744 W 63rd St
Chicago, IL 60629-2343

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1760975304

Inner-City Muslim Action Network's National Provider Identifier is 1760975304, issued on Jun 8, 2018. 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 Jun 8, 2018.