NPIMap

Inner-City Muslim Action Network

A Medicare group practice based in Chicago, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4183942212), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183942212The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20150421001140 IL Part B Supplier - Clinic/Group Practice 1003244567
O20181001002720 IL Part A Provider - Federally Qualified Health Center (FQHC) 1003244567
O20180924003333 IL Part A Provider - Federally Qualified Health Center (FQHC) 1437672433

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (6).

Sources for this page