NANI – Nephrology Physician, NPI 1124069182
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NANI
390 E Congress Pkwy Ste C
Crystal Lake, IL 600146202
Phone: (815) 301-1001
Fax: (815) 301-1002
Type: Location
2560 Hauser Ross Dr Ste 450
Sycamore, IL 601783185
Phone: (815) 301-1001
Fax: (815) 301-1002
Type: Location
1890 Silver Cross Blvd Ste 415
New Lenox, IL 604519575
Phone: (815) 717-8750
Fax: (815) 717-8751
Type: Location
601 W Golf Rd Ste 105
Mount Prospect, IL 600564276
Phone: (847) 439-8780
Fax: (847) 439-8940
Type: Location
120 W 22ND ST
OAK BROOK, IL 605231563
Phone: (630) 573-5000
Fax: (630) 368-0280
Type: Mailing
13755 Cicero Ave
Crestwood, IL 604181824
Phone: (708) 388-0499
Fax: (708) 388-0283
Type: Location
1345 Ryan Pkwy
Algonquin, IL 601024530
Phone: (847) 531-5911
Fax: (847) 531-5922
Type: Location
412 63rd St Ste 100
Downers Grove, IL 605162000
Phone: (331) 775-2783
Fax: (866) 399-1492
Type: Location
1600 N Randall Rd Ste 135
Elgin, IL 601237810
Phone: (847) 531-5911
Fax: (847) 531-5922
Type: Location
901 Biesterfield Rd Ste 310
Elk Grove Village, IL 600077324
Phone: (847) 952-9332
Fax: (847) 952-9338
Type: Location
800 Biesterfield Rd Ste G01
Elk Grove Village, IL 600073372
Phone: (847) 981-3680
Fax: (847) 956-5122
Type: Location
800 Biesterfield Rd Bldg Ste 101
Elk Grove Village, IL 600073361
Phone: (847) 427-7100
Fax: (847) 981-6050
Type: Location
6438 Joliet Rd Ste 203
Countryside, IL 605254624
Phone: (708) 352-5222
Fax: (866) 353-5699
Type: Location
2701 W 68th St
Chicago, IL 606291813
Phone: (773) 735-4884
Fax: (773) 735-2625
Type: Location
104 S Ashland Ave
Chicago, IL 606072402
Phone: (312) 850-8434
Fax: (312) 766-4603
Type: Location
2740 W Foster Ave Ste 405
Chicago, IL 606253532
Phone: (872) 208-7619
Fax: (773) 506-6640
Type: Location
1625 E 75th St Ste 328
Chicago, IL 606493603
Phone: (773) 947-7841
Fax: (773) 493-1430
Type: Location
2222 W Division St Ste 260
Chicago, IL 606222990
Phone: (708) 252-5809
Fax: (630) 701-7521
Type: Location
6307 S Stewart Ave Ste 210
Chicago, IL 606213116
Phone: (773) 483-2200
Fax: (773) 483-2201
Type: Location
15 S McHenry Rd Fl 2
Buffalo Grove, IL 600896705
Phone: (847) 439-8780
Fax: (847) 439-8940
Type: Location
6948 W Windsor Ave
Berwyn, IL 604023335
Phone: (708) 749-4617
Fax: (708) 749-0094
Type: Location
12250 S Cicero Ave Ste 112
Alsip, IL 608032946
Phone: (708) 371-5308
Fax: (708) 371-5964
Type: Location
2055 W Army Trail Rd Ste 110N
Addison, IL 601011478
Phone: (773) 284-9247
Fax: (630) 773-2849
Type: Location
2850 W 95th St Ste 300
Evergreen Park, IL 608052741
Phone: (773) 735-4884
Fax: (773) 735-2625
Type: Location
251 N Cass Ave Ste 100
Westmont, IL 605591745
Phone: (630) 963-0309
Fax: (855) 223-1723
Type: Location
1875 W Dempster St Ste 605
Park Ridge, IL 600681168
Phone: (847) 439-8780
Fax: (847) 439-8940
Type: Location
16605 107th St
Orland Park, IL 604679016
Phone: (708) 226-9860
Fax: (708) 226-9864
Type: Location
1345 Edwards St Ste 3
Morris, IL 604501692
Phone: (815) 905-2209
Fax: (815) 744-5428
Type: Location
675 W North Ave Ste 402
Melrose Park, IL 601601624
Phone: (708) 450-4551
Fax: (708) 681-9711
Type: Location
910 Greenlee St Unit B
Marengo, IL 601528200
Phone: (815) 301-1001
Fax: (815) 301-1002
Type: Location
28160 W Northwest Hwy Ste 105
Lake Barrington, IL 600102332
Phone: (815) 301-1001
Fax: (815) 301-1002
Type: Location
3100 Theodore St Ste 201
Joliet, IL 604350605
Phone: (815) 905-2209
Fax: (815) 744-5428
Type: Location
10370 Haligus Rd Ste 103
Huntley, IL 601429582
Phone: (847) 531-5911
Fax: (847) 531-5922
Type: Location
1555 N Barrington Rd Ste 3400
Hoffman Estates, IL 601691023
Phone: (847) 952-9332
Fax: (847) 952-9338
Type: Location
1425 N Hunt Club Rd Ste 301
Gurnee, IL 600312639
Phone: (847) 855-9152
Fax: (847) 855-5215
Type: Location
9125 S Pulaski Rd
Evergreen Park, IL 608051441
Phone: (708) 422-7715
Fax: (708) 422-7816
Type: Location
1475 E Belvidere Rd Ste 317
Grayslake, IL 600302016
Phone: (847) 855-9152
Fax: (847) 855-5215
Type: Location
Oak Park, Huntsville, Madison County, Alabama, 35801-3609, United States
OAK PARK, IL 603024420
Phone: (708) 386-1000
Fax: (708) 386-2839
Type: Mailing
PO BOX 94644
CLEVELAND, OH 441014644
Phone: (630) 573-5000
Fax: (630) 368-0280
Type: Mailing
120 W 22ND ST STE 200
OAK BROOK, IL 605231563
Phone: (630) 575-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031208000313 | O | Clinic/Group Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60014)
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Reviews
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