Organization
WILLOW SPRINGS SURGERY CENTER, LLC
Active
Other names
forest med-surg center, NANI Vascular at Addison
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH TANNA M.D. (PRESIDENT)
(630) 573-5000
Entity
Organization
Contact information
Practice address
2055 W ARMY TRAIL RD STE 110N, ADDISON, IL 60101-1478
(773) 284-9247
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7003273
LICENSE
IL
Enumeration date
03/01/2006
Last updated
02/04/2026
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