Active NPI
Willow Springs Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Addison, IL
National Provider Identifier
1467429233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 7002744
- Legal business name
- WILLOW SPRINGS SURGERY CENTER, LLC
- Practice address
- 2055 W Army Trail Rd Ste 110N
Addison, IL 60101-1478 - Phone
- (773) 284-9247
- NPI assigned
- Mar 1, 2006
- 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
- Dr. Manish Tanna, M.D.
- Title
- President
- Phone
- (630) 573-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7002744 | IL | Primary |
Addresses
Primary practice location
2055 W Army Trail Rd Ste 110N
Addison, IL 60101-1478
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003273 | Other | IL | LICENSE |
Other names 2
- NANI Vascular at Addison
- forest med-surg center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Credentialing@nephdocs.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040921000585 | IL | Part B Supplier - Ambulatory Surgical Center | 5092783712 |
Receives reassigned benefits from 9 practitioners Practice locations: Addison, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Justice Med Surg Center LTD
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 14D1054952 | Willow Springs Surgery Center, LLC | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1134319924
Member Of
Locations
9050 W 81st St
Lowr
Justice, IL 60458
Phone (708) 594-3513
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Orland Park, IL
- NPI 1063476828
-
- Nephrology Physician
- Winfield, IL
- NPI 1861499550
-
- Nephrology Physician
- Merrillville, IN
- NPI 1639176118
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "7003273",
"state": "IL"
}
],
"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"
}
]
}Other providers in Addison, IL
Sources for this page
- 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.