# SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104925163
- **Authorized official:** MS. NAOMI CASSIN (CREDENTIALING MANAGER)
- **Authorized official phone:** (331) 216-1156

## Contact information

- **Practice address:** 16605 107TH ST, ORLAND PARK, IL 60467-9016
- **Practice address phone:** (708) 226-9860
- **Mailing address:** 120 W 22ND ST, STE 200, OAK BROOK, IL 60523-1563
- **Mailing address phone:** (630) 573-5000
- **Mailing address fax:** (708) 422-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RN0300X | Nephrology Physician | 042618498 | IL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 02/04/2026