Organization
NANI INTERNAL MED ACO, LLC
Active
Other names
NANI Internal Med ACO, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH TANNA MD (PRESIDENT)
(847) 606-6231
Entity
Organization
Contact information
Practice address
412 63RD ST STE 100, DOWNERS GROVE, IL 60516-2000
(331) 775-2783
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
08/23/2024
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