Organization
INNER-CITY MUSLIM ACTION NETWORK
Active
Other names
IMAN
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI NASHASHIBI PHD (EXECUTIVE DIRECTOR)
(773) 434-4626
Entity
Organization
Contact information
Practice address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 776-3623
Mailing address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 776-3623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/21/2013
Last updated
05/02/2018
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