Nani Internal Med Aco, LLC
Clinic/Center, Medical Specialty in Downers Grove, IL. Organization (NPI-2).
NPI number1699348342
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1699348342
- Entity type
- Organization (NPI-2)
- Legal business name
- Nani Internal Med Aco, LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Nani Internal Med Aco, LLC (Doing Business As)
Practice location
412 63rd St Ste 100Downers Grove, IL 60516-2000
Phone 331-775-2783
Mailing address
120 W 22nd St Ste 200Oak Brook, IL 60523-1563
Phone 630-575-5000
Authorized official
Manish Tanna
President
8476066231
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