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Organization
NANI INTERNAL MED ACO, LLC
Active
Organization
NANI INTERNAL MED ACO, LLC
Active
Other names
NANI Internal Med ACO, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA MD (PRESIDENT)
(847) 606-6231
Entity
Organization
Contact information
Practice address
412 63RD ST STE 100, DOWNERS GROVE, IL 60516-2000
(331) 775-2783
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2021
Last updated
08/23/2024
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