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Organization
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Active
Organization
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA (MD)
(630) 573-5000
Entity
Organization
Contact information
Practice address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(303) 680-2806
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BLUE CROSS BLUE SHIELD
IL
01
—
CD3741
RR-GROUP DUPAGE
IL
Enumeration date
07/27/2007
Last updated
08/27/2025
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