Organization · Type 2 NPI

Inner-City Muslim Action Network

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1770020828 Active

Practice location

2744 W 63rd St
Chicago, IL 60629-2343

Fax (773) 776-3623

Other practice locations

  • 2744 W 63rd St, Building 2, Chicago, IL 60629-2343 · (773) 434-4626

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1770020828

Inner-City Muslim Action Network's National Provider Identifier is 1770020828, issued on Jan 27, 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 Sep 26, 2018.