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Organization

INNER-CITY MUSLIM ACTION NETWORK

Active
Other names
IMAN Youth and Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
RAMI NASHASHIBI (EXECUTIVE DIRECTOR)
(773) 434-4626
Entity
Organization

Contact information

Practice address
2749 W 63RD ST, CHICAGO, IL 60629-2342
(773) 434-4626
(773) 303-8858
Mailing address
2744 W. 63RD STREET, CHICAGO, IL 60629
(773) 434-4626
(773) 303-8858

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
IL

Other

Enumeration date
06/08/2018
Last updated
06/08/2018
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