DR. SHEDEH TAVAKOLI PH.D.
NPI 1164743936
Counselor - Professional in Chicago, IL

Q: What is Shedeh Tavakoli's NPI number?

The NPI number for Shedeh Tavakoli is 1164743936. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Q: What is Shedeh Tavakoli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shedeh Tavakoli was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since June 16, 2010

3420 W FOSTER AVE, SUITE A, CHICAGO, IL 60625(312) 813-0160 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Shedeh Tavakoli Ph.d. NPPES

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

DR. SHEDEH TAVAKOLI PH.D. (NPI 1164743936) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.007463) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1164743936

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. SHEDEH TAVAKOLICredential: PH.D.

Location Address3420 W FOSTER AVE, SUITE AChicago, IL 60625-6971

Mailing Address3420 W. Foster, Suite AChicago, IL 60625-6971 · (248) 736-0173

Phone(312) 813-0160

Sole ProprietorYes

Enumeration DateJune 16, 2010

Last NPPES UpdateNovember 3, 2016

✔ NPI 1164743936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in IL · 180.007463✔ Licensed in MI · 6401008389

3420 W FOSTER AVE, Chicago, IL 60625

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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.

MRS. KAY E. HOLLER L.C.S.W.

Social Worker (Clinical)

3420 W FOSTER AVE, STORE A
CHICAGO, IL 60625

Cook County (773) 583-3641

DANIEL D. YUTZY MSW, ACSW LCSW LSCSW

Social Worker (Clinical)

3420 W FOSTER AVE, STORE A
CHICAGO, IL 60625

Cook County (773) 583-3641

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 Shedeh Tavakoli's NPI number?

The NPI number for Shedeh Tavakoli is 1164743936. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Shedeh Tavakoli located?

Shedeh Tavakoli practices at 3420 W Foster Ave Suite A, Chicago, IL 60625. The listed phone number is (312) 813-0160.

What is Shedeh Tavakoli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shedeh Tavakoli was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.