INNER-CITY MUSLIM ACTION NETWORK
NPI 1003244567
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since October 21, 2013CLIA 14D2110672 · Waiver
2744 W 63RD ST, CHICAGO, IL 60629(773) 434-4626(773) 776-3623 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Inner-city Muslim Action Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER-CITY MUSLIM ACTION NETWORK (NPI 1003244567) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through March 21, 2028, maintains a secondary practice location in Chicago, and lists Syeda Kamran, Interim Board Chair, as its authorized official.

NPPES Registry Identity

NPI1003244567
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINNER-CITY MUSLIM ACTION NETWORK
Location Address2744 W 63RD STChicago, IL 60629-2343
Mailing Address2744 W 63rd StChicago, IL 60629-2343 · (773) 434-4626
Fax(773) 776-3623
Organization SubpartNo
Authorized OfficialSyeda KamranInterim Board Chair · (773) 434-4626
Enumeration DateOctober 21, 2013
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1003244567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2744 W 63RD ST, Chicago, IL 60629

Other Names 1

Other NameIman

Secondary Practice Location 1

Location 12749 W 63rd StChicago, IL 60629-2342 · Phone (773) 434-4626

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inner-city Muslim Action Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Inner-City Muslim Action Network, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Family Practice8
Internal Medicine5
Clinical Social Worker2
Mental Health Counselor2
Nurse Practitioner2
Marriage and Family Therapist1
Pediatric Medicine1

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1962060566
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053119990
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOSSame address
Mental Health Counselor
NPI 1396548103
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOSSame address
Family Practice
NPI 1164455978
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1104365196
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOSSame address
Marriage and Family Therapist
NPI 1558719344
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOSSame address
Family Practice
NPI 1851955462
2744 W 63RD ST
Chicago, IL 60629
(773) 434-4626
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1033275615
1642 E 56TH ST SUITE 107
Chicago, IL 60637
(773) 321-0200
✔ PECOS5.7 mi
Clinical Social Worker
NPI 1194445734
155 N MICHIGAN AVE STE 707
Chicago, IL 60601
(312) 819-7381
✔ PECOS8.1 mi
Internal Medicine
NPI 1548254972
14 LAKE ST
Oak Park, IL 60302
(708) 383-0113
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1861970642
3023 N CLARK ST STE 593
Chicago, IL 60657
(205) 427-9243
✔ PECOS11 mi
Internal Medicine
NPI 1841618691
701 SUPERIOR AVE
Munster, IN 46321
(219) 852-1524
✔ PECOS19 mi
Family Practice
NPI 1164819215
1536 VINCENNES AVE
Chicago Heights, IL 60411
(877) 692-8686
✔ PECOS19 mi
Family Practice
NPI 1851704043
630 E NORTH AVE DEPT OF FAMILY MEDICINE
Carol Stream, IL 60188
(630) 458-5300
✔ PECOS22 mi
Family Practice
NPI 1366963332
27650 FERRY RD STE 110
Warrenville, IL 60555
(630) 315-6543
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1487795118
6050 STERLING CREEK RD
Portage, IN 46368
(219) 763-8112
✔ PECOS✔ Accepts Medicare30 mi
Pediatric Medicine
NPI 1689916058
4 E NORTH ST
Coal City, IL 60416
(815) 518-5755
✔ PECOS46 mi
Family Practice
NPI 1518221654
33155 ANNAPOLIS ST
Wayne, MI 48184
(734) 467-2483
✔ PECOS✔ Accepts Medicare225 mi
Internal Medicine
NPI 1144660754
80 MAIDEN LN STE 900
New York, NY 10038
(917) 261-4414
✔ PECOS716 mi
Family Practice
NPI 1275570699
33000 PORTOFINO CIR APT 110
Palm Beach Gardens, FL 33418
(773) 367-4150
✔ PECOS✔ Accepts Medicare1,115 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2110672

Inner City Muslim Action Network · Chicago, IL
Active · expires Mar 21, 2028
CLIA Number14D2110672
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorBrittani James
Laboratory Phone(773) 434-4626
Laboratory LocationInner City Muslim Action Network2744 W 63rd St, Chicago, IL 60629
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner-City Muslim Action Network's NPI number?

The NPI number for Inner-City Muslim Action Network is 1003244567. It was assigned to this organization in the NPPES registry on October 21, 2013. The provider is also known as Iman.

Where is Inner-City Muslim Action Network located?

Inner-City Muslim Action Network is located at 2744 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 434-4626.

What is Inner-City Muslim Action Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Inner-City Muslim Action Network enrolled in Medicare?

Yes. Inner-City Muslim Action Network is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner-City Muslim Action Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 7 Medicare specialties reassign their Medicare billing to Inner-City Muslim Action Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Internal Medicine (5) and Clinical Social Worker (2). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Inner-City Muslim Action Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2110672) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Inner-City Muslim Action Network accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Inner-City Muslim Action Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Inner-City Muslim Action Network was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.