Organization
NANI VASCULAR SOUTH ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI CASSIN (SR MANAGER CREDENTIALING)
(331) 216-1156
Entity
Organization
Contact information
Practice address
12250 S CICERO AVE STE 112, ALSIP, IL 60803-2946
(708) 371-5308
(708) 371-5964
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 491-5472
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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