# NANI VASCULAR SOUTH ASC LLC

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

## Provider details

- **NPI number:** 1760332035
- **Authorized official:** NAOMI CASSIN (SR MANAGER CREDENTIALING)
- **Authorized official phone:** (331) 216-1156

## Contact information

- **Practice address:** 12250 S CICERO AVE STE 110, ALSIP, IL 60803-2946
- **Practice address phone:** (708) 371-5308
- **Practice address fax:** (708) 371-5964
- **Mailing address:** 120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
- **Mailing address phone:** (630) 573-5000
- **Mailing address fax:** (630) 491-5472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2026
- **Last updated:** 05/20/2026