MR. Nasser Tavakoly, RCSA
NPI #1205052529 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1205052529
- Entity Type
- Individual
- Name
- MR. Nasser Tavakoly, RCSA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Technologist
- Credential
- RCSA
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 ROYCE RD.
- Address 2
- SUITE 5
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440
- Phone
- (630) 759-9070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist |
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