340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC33649-03 Inner City Muslim Action Network (Active)
Print
Main Details
Name
Inner City Muslim Action Network
Subdivision Name
IMAN Mobile Health Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035422
340B ID
CHC33649-03
Grant Number
H80CS33649
Additional Details
Current Program Status
Active
Registration Date
1/16/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/20/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Inner-city Muslim Action Network
Maysoon Haleem, Director of Revenue Cycle
(773) 464-4626
Primary Contact
Inner-City Muslim Action Network (IMAN)
Yesenia Valle, Health Information Coordinator
(773) 464-4626 Ext: 398
Addresses
Street Address
2744 W 63rd St
Chicago, IL 60629-2343
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session