Willow Springs Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002744 Issued in IL

Legal business name

WILLOW SPRINGS SURGERY CENTER, LLC

Doing business as

NANI Vascular at Addison
forest med-surg center

Practice address

2055 W Army Trail Rd Ste 110N
Addison, IL 60101-1478

Phone

(773) 284-9247

NPI assigned

Mar 1, 2006

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manish Tanna, M.D.NPI 1821096470

Title

President

Phone

(630) 573-5000

Specialties & licenses 1

Addresses

Other names 2

• NANI Vascular at Addison Doing business as
• forest med-surg center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Justice Med Surg Center LTDCCN 14C0001107

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nephrology Associates of Northern Illinois LTD

  • Nephrology Physician
  • Rockford, IL
  • NPI 1043418908

  Member Of

  NPD member

Locations

Practitioners 13

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.

• Wadah Atassi, MD

  • Nephrology Physician
  • Chicago, IL
  • NPI 1336125327
  Medicare reassignment NPD
• Gautam K Bhanushali, MD

  • Nephrology Physician
  • Chicago, IL
  • NPI 1073829990
  Medicare reassignment NPD
• Mohammad Jamal Deen, CRNA

  • Certified Registered Nurse Anesthetist
  • Berwyn, IL
  • NPI 1396219176
  Medicare reassignment NPD
• Ernest F Dejesus, MD

  • Nephrology Physician
  • Winfield, IL
  • NPI 1295737088
  Medicare reassignment NPD
• Andrew Kowalski, M.D.

  • Nephrology Physician
  • Addison, IL
  • NPI 1114293123
  Medicare reassignment NPD
• Kevin K Pandya, M.D.

  • Nephrology Physician
  • Naperville, IL
  • NPI 1972759298
  Medicare reassignment NPD
• Mohamed Abdel Rahman, MD

  • Nephrology Physician
  • Elk Grove Village, IL
  • NPI 1770580672
  Medicare reassignment NPD
• Khurram Saleem, M.D.

  • Nephrology Physician
  • Elk Grove Village, IL
  • NPI 1467730192
  Medicare reassignment NPD
• Yassir Sirajeldin, M.D.

  • Nephrology Physician
  • Southfield, MI
  • NPI 1306111463

  IL

  Medicare reassignment NPD
• Manish Tanna, MD

  • Nephrology Physician
  • Mount Prospect, IL
  • NPI 1821096470
  Authorized official Same address or phone
• Steven French, DPM

  • Podiatrist
  • Orland Park, IL
  • NPI 1063476828
  NPD
• Gregory Kozeny, MD

  • Nephrology Physician
  • Winfield, IL
  • NPI 1861499550
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1467429233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W ARMY TRAIL RD STE 110N",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011478",
            "telephone_number": "773-284-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "TANNA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-573-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NANI Vascular at Addison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "forest med-surg center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Walters, RN
• Laura K Weinbrenner, CCC-SLP/L
• Jill Whelan, APN
• Rachel Dolan Wickersham, CD(DONA), CPM, LM
• Tenja R Wilke, APNP
• Willowcrest Behavioral Health PC
• Daryl D Wilson, M.D.
• Jaelyn Wingard
• Noelle M Witwer, MD
• Jolanta Wlodarkiewicz, PT

• Ambulatory Surgical Clinic/Center in Addison, IL
• Providers in Addison, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.