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Organization
IMANI COMMUNITY CLINIC
Active
Organization
IMANI COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE MWANIKI MD (AUTHORIZED OFFICIAL)
(312) 823-7793
Entity
Organization
Contact information
Practice address
502 W 138TH ST, RIVERDALE, IL 60827-1611
(312) 763-6162
Mailing address
502 W 138TH ST, RIVERDALE, IL 60827-1611
(312) 763-6162
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
04/17/2025
Last updated
07/01/2026
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