FORT WAYNE VASCULAR CARE LLC

FORT WAYNE, IN
NPI1225684368
Doing Business AsNEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC
Entity TypeOrganization
Authorized ContactMANISH TANNA
Md
630-573-5000
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
Enumeration Date2019-08-14
Last Update Date2025-03-07
Business Address
FORT WAYNE VASCULAR CARE LLC
1833 MAGNAVOX WAY # 100
FORT WAYNE, IN 46804-1539
Phone number: 260-918-0997
Mailing Address
FORT WAYNE VASCULAR CARE LLC
120 W 22ND ST
OAK BROOK, IL 60523-1557
Phone number: 630-573-5000