Active NPI
Nephrology Associates of Northern Illinois, LTD.
- Nephrology Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manish Tanna
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1616108 | Other | IL | BLUE CROSS BLUE SHIELD |
| CD3741 | Other | IL | RR-GROUP DUPAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Nephrology Physician
- Rockford, IL
- NPI 1043418908
O20031208000313
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
O20031208000313
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2062267 | Nephrology Associates of Northern Illinois LTD | Provider-performed microscopy | Jul 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Nephrology Associates of Northern Illinois
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Crystal Lake, IL
- NPI 1447403852
-
- Nephrology Physician
- Rockford, IL
- NPI 1043418908
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
-
- Nephrology Physician
- Monroe, WI
- NPI 1063605053
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.
-
- Nephrology Physician
- Mount Prospect, IL
- NPI 1821096470
-
- Nephrology Physician
- Bolingbrook, IL
- NPI 1962588061
-
- Nephrology Physician
- Joliet, IL
- NPI 1447368949
-
- Nephrology Physician
- Evergreen Park, IL
- NPI 1306879929
-
- Nephrology Physician
- Gurnee, IL
- NPI 1508033226
-
- Nephrology Physician
- Hoffman Estates, IL
- NPI 1801973649
-
- Internal Medicine Physician
- Westmont, IL
- NPI 1285692889
-
- Physician Assistant
- Elk Grove Village, IL
- NPI 1598889370
-
- Nephrology Physician
- Chicago, IL
- NPI 1598036840
-
- Nephrology Physician
- Berwyn, IL
- NPI 1265637623
-
- Nephrology Physician
- Crystal Lake, IL
- NPI 1831378330
-
- Nephrology Physician
- Crystal Lake, IL
- NPI 1487831202
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.