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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

IMANI COMMUNITY CLINIC
NPI 1053107813
Clinic/Center - Multi-Specialty in Riverdale, IL

Active since April 17, 2025CLIA 14D2323940 · Waiver
502 W 138TH ST, RIVERDALE, IL 60827(312) 763-6162 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, Apr 30, 2026, Apr 10, 2026 (3 updates tracked since 2026).

About Imani Community Clinic NPPES

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

IMANI COMMUNITY CLINIC (NPI 1053107813) is a healthcare organization registered as a multi-specialty in Riverdale, Illinois and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Janice Mwaniki, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053107813
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameIMANI COMMUNITY CLINIC
Location Address502 W 138TH STRiverdale, IL 60827-1611
Mailing Address502 W 138th StRiverdale, IL 60827-1611 · (312) 763-6162
Phone(312) 763-6162
Organization SubpartNo
Authorized OfficialJanice MwanikiAuthorized Official · (312) 823-7793
Enumeration DateApril 17, 2025
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1053107813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
502 W 138TH ST, Riverdale, IL 60827
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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 14D2323940

Imani Community Clinic · Riverdale, IL
Active · expires May 14, 2027
CLIA Number14D2323940
Laboratory TypeIndependent
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJoseph Ofisi
Laboratory Phone(312) 763-6162
Laboratory LocationImani Community Clinic502 W 138th St, Riverdale, IL 60827
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHENA N BRADLEY
Home Health Aide
502 W 138TH ST
RIVERDALE, IL 60827
Cook County (708) 880-1397

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 Imani Community Clinic's NPI number?

The NPI number for Imani Community Clinic is 1053107813. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Imani Community Clinic located?

Imani Community Clinic is located at 502 W 138th St, Riverdale, IL 60827. The listed phone number is (312) 763-6162.

What is Imani Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Imani Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2323940) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imani Community Clinic was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.