Organization
NANI VASCULAR NORTH ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN O'DEA (CEO)
(630) 974-5225
Entity
Organization
Contact information
Practice address
2055 W ARMY TRAIL RD STE 110N, ADDISON, IL 60101-1478
(630) 573-5000
Mailing address
120 W 22ND STREET, ADDISON, IL 60523
(630) 573-5000
(630) 368-0280
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
08/21/2025
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