| Nani Internal Med Aco, Llc | |
|
412 63rd St Ste 100 Downers Grove IL 60516-2000 | |
| (331) 775-2783 | |
| Not Available |
| Full Name | Nani Internal Med Aco, Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 412 63rd St Ste 100, Downers Grove, Illinois |
| Authorized Official Name and Position | Manish Tanna (PRESIDENT) |
| Authorized Official Contact | 8476066231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nani Internal Med Aco, Llc 120 W 22nd St Ste 200 Oak Brook IL 60523-1563 Ph: (630) 575-5000 | Nani Internal Med Aco, Llc 412 63rd St Ste 100 Downers Grove IL 60516-2000 Ph: (331) 775-2783 |
| NPI Number | 1699348342 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699348342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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