Organization
SOUTHWEST NEPHROLOGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAOMI CASSIN (CREDENTIALING MANAGER)
(331) 216-1156
Entity
Organization
Contact information
Practice address
16605 107TH ST, ORLAND PARK, IL 60467-9016
(708) 226-9860
Mailing address
120 W 22ND ST, STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(708) 422-7816
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
042618498
IL
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
02/04/2026
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