NPI | 1003244567 |
---|---|
Other Name | IMAN |
Entity Type | Organization |
Authorized Contact | RAMI NASHASHIBI Executive Director 773-434-4626 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
261Q00000X Clinic/Center | |
261QP2300X Clinic/Center Primary Care | |
Enumeration Date | 2013-10-21 |
Last Update Date | 2018-05-02 |