Tavakoly, Nasser

Tavakoly, Nasser is an sole proprietor health care provider with primary practice located at 101 Royce Rd. Suite 5, Bolingbrook IL 60440. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Tavakoly, Nasser can be contacted via phone (630) 759-9070.

Contact Information

Primary practice address
101 Royce Rd. Suite 5 Bolingbrook IL 60440
Phone: (630) 759-9070
Fax: (630) 759-9067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X Illinois

Profile Details

NPI number 1205052529
LBN Legal business name Tavakoly, Nasser
Credentials RCSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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