Organization
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Active
Other names
NANI
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA MD (PRESIDENT)
(630) 573-5000
Entity
Organization
Contact information
Practice address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BLUE CROSS BLUE SHIELD
IL
01
—
C30486
RR-GROUP COOK
IL
Enumeration date
06/09/2006
Last updated
02/04/2026
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