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Organization
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Active
Organization
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Active
Other names
NANI
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA MD (PRESIDENT)
(630) 573-5000
Entity
Organization
Contact information
Practice address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BLUE CROSS BLUE SHIELD
IL
01
—
C30486
RR-GROUP COOK
IL
Enumeration date
06/09/2006
Last updated
02/04/2026
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