NANI VASCULAR NORTH ASC LLC
NPI 1629813787
Internal Medicine - Nephrology in Addison, IL

Active since June 28, 2024
2055 W ARMY TRAIL RD STE 110N, ADDISON, IL 60101(630) 573-5000 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Jun 28, 2024 (2 updates tracked since 2024).

About Nani Vascular North Asc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANI VASCULAR NORTH ASC LLC (NPI 1629813787) is a healthcare organization registered as a nephrology in Addison, Illinois and active in the NPI registry since June 2024. The organization lists Brian O'dea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629813787
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNANI VASCULAR NORTH ASC LLC
Location Address2055 W ARMY TRAIL RD STE 110NAddison, IL 60101-1478
Mailing Address120 W 22nd StreetAddison, IL 60523 · (630) 573-5000 · Fax (630) 368-0280
Organization SubpartNo
Authorized OfficialBrian O'deaCeo · (630) 974-5225
Enumeration DateJune 28, 2024
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1629813787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2055 W ARMY TRAIL RD STE 110N, Addison, IL 60101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
2055 W ARMY TRAIL RD STE 110N
ADDISON, IL 60101
Internal Medicine (Nephrology)
2055 W ARMY TRAIL RD STE 110N
ADDISON, IL 60101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nani Vascular North ASC LLC's NPI number?

The NPI number for Nani Vascular North ASC LLC is 1629813787. It was assigned to this organization in the NPPES registry on June 28, 2024.

Where is Nani Vascular North ASC LLC located?

Nani Vascular North ASC LLC is located at 2055 W Army Trail Rd Ste 110N, Addison, IL 60101. The listed phone number is (630) 573-5000.

What is Nani Vascular North ASC LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Nani Vascular North ASC LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.