# NANI INTERNAL MED ACO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NANI Internal Med ACO, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699348342
- **Authorized official:** MANISH TANNA MD (PRESIDENT)
- **Authorized official phone:** (847) 606-6231

## Contact information

- **Practice address:** 412 63RD ST STE 100, DOWNERS GROVE, IL 60516-2000
- **Practice address phone:** (331) 775-2783
- **Mailing address:** 120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
- **Mailing address phone:** (630) 575-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2021
- **Last updated:** 08/23/2024