| Iman Mobile Health Unit | |
|
2744 W 63rd St Chicago IL 60629-2343 | |
| (773) 434-4626 | |
| Not Available |
| Full Name | Iman Mobile Health Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2744 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Rami Nashashibi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7734344626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iman Mobile Health Unit 2744 W 63rd St Chicago IL 60629-2343 Ph: (773) 434-4626 | Iman Mobile Health Unit 2744 W 63rd St Chicago IL 60629-2343 Ph: (773) 434-4626 |
| NPI Number | 1073106621 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073106621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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