Inner-city Muslim Action Network - Medicare Primary Care in Chicago, IL

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Inner-city Muslim Action Network is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Chicago, Illinois. The current practice location for Inner-city Muslim Action Network is 2744 W 63rd St, Chicago, Illinois. For appointments, you can reach them via phone at (773) 434-4626. The mailing address for Inner-city Muslim Action Network is 2744 W 63rd St, Chicago, Illinois and phone number is (773) 434-4626.

Inner-city Muslim Action Network is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003244567. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 434-4626.

Contact Information

Inner-city Muslim Action Network
2744 W 63rd St
Chicago
IL 60629-2343
(773) 434-4626
(773) 776-3623

Map and Direction


Primary Care Clinic Profile

Full NameInner-city Muslim Action Network
SpecialityClinic/Center
Location2744 W 63rd St, Chicago, Illinois
Authorized Official Name and PositionRami Nashashibi (EXECUTIVE DIRECTOR)
Authorized Official Contact7734344626
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Inner-city Muslim Action Network
2744 W 63rd St
Chicago
IL 60629-2343

Ph: (773) 434-4626		Inner-city Muslim Action Network
2744 W 63rd St
Chicago
IL 60629-2343

Ph: (773) 434-4626

NPI Details:

NPI Number1003244567
Provider Enumeration Date10/21/2013
Last Update Date05/02/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4183942212
Medicare Enrollment IDO20150421001140

Medical Identifiers

Medical identifiers for Inner-city Muslim Action Network such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003244567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
101Y00000XCounselor (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Inner-city Muslim Action Network acts as a billing entity for following providers:
Provider NameShona M Hillman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275570699
PECOS PAC ID: 6204829443
Enrollment ID: I20040405001202
Provider NameNaveed K Mallick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033275615
PECOS PAC ID: 6305889114
Enrollment ID: I20050602000911
Provider NameMohammed Altaf Kaiseruddin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164455978
PECOS PAC ID: 3072580919
Enrollment ID: I20061120000440
Provider NameAndi Arnautovic
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487795118
PECOS PAC ID: 9335299940
Enrollment ID: I20090602000404
Provider NameSofia M Adawy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427283290
PECOS PAC ID: 5890949416
Enrollment ID: I20130207000442
Provider NameJoseph Quincy Lyon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922401819
PECOS PAC ID: 2062735087
Enrollment ID: I20141226000152
Provider NameMubashir S Saeed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518221654
PECOS PAC ID: 7214228600
Enrollment ID: I20160615000172
Provider NameAamair Tajuddin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689916058
PECOS PAC ID: 8729355763
Enrollment ID: I20170523002992
Provider NameSarah Haroon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639586472
PECOS PAC ID: 3375769698
Enrollment ID: I20170808001788
Provider NameRalph G. Ryan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548254972
PECOS PAC ID: 9739168832
Enrollment ID: I20171130001618
Provider NameQueennorah Anigbogu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962060566
PECOS PAC ID: 0042545022
Enrollment ID: I20190712001822
Provider NameShan Rehman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841618691
PECOS PAC ID: 7315241106
Enrollment ID: I20190718002483
Provider NameBrittani M James
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164819215
PECOS PAC ID: 6406166743
Enrollment ID: I20190912000080
Provider NameElizabette Nava
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861970642
PECOS PAC ID: 5597197145
Enrollment ID: I20191120000189
Provider NameAmanda E Wright
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033505045
PECOS PAC ID: 5092087643
Enrollment ID: I20200113001088
Provider NameBrendan Sullivan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144660754
PECOS PAC ID: 1355615568
Enrollment ID: I20210311001058
Provider NameRamalaxmi Shanmugavelayutham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962998914
PECOS PAC ID: 3274932058
Enrollment ID: I20210527001167
Provider NameHanit U Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366963332
PECOS PAC ID: 9133526858
Enrollment ID: I20210923000526
Provider NameEbony Markin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194445734
PECOS PAC ID: 0042671190
Enrollment ID: I20230804002715
Provider NameLuther Walls
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851955462
PECOS PAC ID: 4688093164
Enrollment ID: I20230811003109
Provider NameNatali Y Rehman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1558719344
PECOS PAC ID: 2264883719
Enrollment ID: I20240109001668
Provider NameShannon B Mccray
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1104365196
PECOS PAC ID: 1850743998
Enrollment ID: I20240115000198
Provider NameSanna Stella
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477231884
PECOS PAC ID: 6305289729
Enrollment ID: I20240213000965
Provider NameDwayne Arra Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811600745
PECOS PAC ID: 8628419587
Enrollment ID: I20240509003932
Provider NameJessica Lynn Good
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437911310
PECOS PAC ID: 1254773476
Enrollment ID: I20240520002602

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.