NPI: 1467429233 · ADDISON, IL 60101 · Ambulatory Surgical Clinic/Center · NPI assigned 03/01/2006
| Authorized Official | TANNA, MANISH (PRESIDENT) |
| NPI Enumeration Date | 03/01/2006 |
Other providers sharing the same authorized official: TANNA, MANISH
| Provider | City | State | Total Paid |
|---|---|---|---|
| NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA, INC | FORT WAYNE | IN | $3.31M |
| FORT WAYNE VASCULAR CARE LLC | FORT WAYNE | IN | $35K |
| NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD. | OAK BROOK | IL | $418.90 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36902 | 26 | 26 | $0.00 |