Nani Internal Med Aco, LLC

Organization Active NPI Medical Specialty Clinic/Center · Downers Grove, IL

NPI 1699348342 · NPPES record last updated Aug 23, 2024

Key facts

NPI
1699348342
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
Legal business name
NANI INTERNAL MED ACO, LLC
Practice address
412 63Rd St Ste 100
Downers Grove, IL 60516-2000
Phone
(331) 775-2783
NPI assigned
Jul 21, 2021
Organization subpart
No

Authorized official

Name
Manish Tanna, MD NPI 1821096470
Title
President
Phone
(847) 606-6231

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X
Medical Specialty Clinic/Center 261QM2500X Yes

Addresses

Primary practice location

412 63Rd St Ste 100
Downers Grove, IL 60516-2000

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 575-5000

Other names

  • NANI Internal Med ACO, LLC Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Other
Direct Messaging Address credentialing@nephdocs.com

Other providers in Downers Grove, IL

All providers in Downers Grove, IL · Medical Specialty Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.