Organization
INNER-CITY MUSLIM ACTION NETWORK
Active
Organization
INNER-CITY MUSLIM ACTION NETWORK
Active
Other names
IMAN Oral Health Center
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
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
09/26/2018
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