Individual
MR. NASSER TAVAKOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCSA
Contact information
Practice address
101 ROYCE RD., SUITE 5, BOLINGBROOK, IL 60440
(630) 759-9070
(630) 759-9067
Mailing address
P.O.BOX 9274, NAPERVILLE, IL 60567-9274
(630) 759-9070
(630) 759-9067
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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