Organization Active NPI

Nani Vascular South ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Alsip, IL
National Provider Identifier
1760332035
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NANI VASCULAR SOUTH ASC LLC
Practice address
12250 S Cicero Ave Ste 110
Alsip, IL 60803-2946
Phone
(708) 371-5308
Fax
(708) 371-5964
NPI assigned
Jan 28, 2026
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Naomi Cassin
Title
Sr Manager Credentialing
Phone
(331) 216-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

12250 S Cicero Ave Ste 110
Alsip, IL 60803-2946

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2344051Nani Vascular South ASC LLC12250 S Cicero Ave - Ste 110, Alsip, IL 60803Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

12250 S Cicero Ave
Ste 110
Alsip, IL 60803
Phone (708) 371-5308

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1760332035",
    "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",
            "fax_number": "630-491-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 S CICERO AVE STE 110",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608032946",
            "telephone_number": "708-371-5308",
            "fax_number": "708-371-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANI VASCULAR SOUTH ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "CASSIN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "SR MANAGER CREDENTIALING",
        "authorized_official_telephone_number": "331-216-1156"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alsip, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.