Organization Active NPI

Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
National Provider Identifier
1134319924
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Practice address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone
(630) 573-5000
Fax
(303) 680-2806
NPI assigned
Jul 27, 2007
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manish TannaNPI 1821096470
Title
MD
Phone
(630) 573-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X IL Primary

Addresses

Primary practice location

120 W 22ND St
Oak Brook, IL 60523-1557

Mailing address

120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000

Other practice location 1

2340 S Highland Ave Ste 160
Lombard, IL 60148-5395
Phone (630) 495-9356

Other practice location 2

5201 Willow Springs Rd Ste 260
LA Grange Highlands, IL 60525-6537
Phone (708) 354-1306

Other practice location 3

396 Remington Blvd Ste 140
Bolingbrook, IL 60440-4311
Phone (630) 495-9356

Other practice location 4

911 N Elm St Ste 102
Hinsdale, IL 60521-3640
Phone (630) 495-9356

Other practice location 5

25 N Winfield Rd Ste 414
Winfield, IL 60190-1379
Phone (630) 690-1220

Other practice location 6

302 Randall Rd Ste 205
Geneva, IL 60134-4219
Phone (630) 690-1220

Other identifiers 2

IdentifierTypeStateIssuer
1616108OtherILBLUE CROSS BLUE SHIELD
CD3741OtherILRR-GROUP DUPAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000313 IL Part B Supplier - Clinic/Group Practice 2163328675 Receives reassigned benefits from 163 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gurnee, IL; Harvey, IL; Hinsdale, IL; Hoffman Estates, IL; Huntley, IL; Joliet, IL; La Grange Highlands, IL; Lake Barrington, IL…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2062267Nephrology Associates of Northern Illinois LTD396 Remington Blvd, Ste 140, Bolingbrook, IL 60440Provider-performed microscopyJul 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates of Northern Illinois5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2701 W 68th St
Ste 417
Chicago, IL 60629
Phone (773) 735-4884

13755 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-2400

390 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (815) 301-1001

1600 N Randall Rd
Ste 135
Elgin, IL 60123
Phone (847) 531-5911

9125 S Pulaski Rd
Evergreen Pk, IL 60805
Phone (708) 422-7715

71 W 156th St
Ste 108
Harvey, IL 60426
Phone (708) 388-0499

911 N Elm St
Ste S102
Hinsdale, IL 60521

10370 Haligus Rd
Ste 103
Huntley, IL 60142
Phone (847) 531-5911

2340 S Highland Ave
Ste S160
Lombard, IL 60148

719 Ridgeview Dr
#B
McHenry, IL 60050
Phone (815) 697-6464

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

7425 Janes Ave
Ste 101
Woodridge, IL 60517
Phone (630) 495-9356

Practitioners & affiliated clinicians

Practitioners 138

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1134319924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-573-5000",
            "fax_number": "630-368-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-573-5000",
            "fax_number": "303-680-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 S Highland Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485395",
            "country_code": "US",
            "telephone_number": "630-495-9356",
            "fax_number": "630-495-9357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Willow Springs Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "LA Grange Highlands",
            "state": "IL",
            "postal_code": "605256537",
            "country_code": "US",
            "telephone_number": "708-354-1306",
            "fax_number": "708-354-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Remington Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404311",
            "country_code": "US",
            "telephone_number": "630-495-9356",
            "fax_number": "630-495-9357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 N Elm St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213640",
            "country_code": "US",
            "telephone_number": "630-495-9356",
            "fax_number": "630-495-9357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 414",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-690-1220",
            "fax_number": "630-690-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Randall Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344219",
            "country_code": "US",
            "telephone_number": "630-690-1220",
            "fax_number": "630-208-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-573-5000"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1616108",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-GROUP DUPAGE",
            "identifier": "CD3741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.