Nani Vascular North ASC LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NANI VASCULAR NORTH ASC LLC

Practice address

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

Phone

(630) 573-5000

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Brian O'Dea

Title

Ceo

Phone

(630) 974-5225

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1629813787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND STREET",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60523",
            "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": "2055 W ARMY TRAIL RD STE 110N",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011478",
            "telephone_number": "630-573-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANI VASCULAR NORTH ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "O'DEA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-974-5225"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd Street",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gazanfer Mushtaq, PT
• Michael Walter Naborowski, D.D.S.
• Iliass Najimi, DC
• Aimee Lynn Naleway, PA-C
• Nani Vascular North ASC LLC
• Napa Center USA, LLC
• Natures Wellness Co
• Nest ABA P.C.
• Nancy M Ngo, DDS
• Sen My Nguyen

• Nephrology Physician in Addison, IL
• Providers in Addison, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.