Organization
INNER-CITY MUSLIM ACTION NETWORK
Active
Organization
INNER-CITY MUSLIM ACTION NETWORK
Active
Other names
IMAN
Organization subpart
No
Provider details
NPI number
Authorized official
SYEDA KAMRAN (INTERIM BOARD CHAIR)
(773) 434-4626
Entity
Organization
Contact information
Practice address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 303-8858
Mailing address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(773) 303-8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/08/2018
Last updated
06/17/2026
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