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MR. NASSER TAVAKOLY RCSA
NPI 1205052529
in Bolingbrook, IL

Active since April 17, 2007
101 ROYCE RD., SUITE 5, BOLINGBROOK, IL 60440(630) 759-9070(630) 759-9067 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Nasser Tavakoly Rcsa NPPES

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

MR. NASSER TAVAKOLY RCSA (NPI 1205052529) is an individual healthcare provider in Bolingbrook, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1205052529
Entity TypeIndividualMale
Primary Taxonomy246ZS0400X
Provider Legal NameMR. NASSER TAVAKOLYCredential: RCSA
Location Address101 ROYCE RD., SUITE 5Bolingbrook, IL 60440
Mailing AddressP.o.box 9274Naperville, IL 60567-9274 · (630) 759-9070 · Fax (630) 759-9067
Phone(630) 759-9070
Fax(630) 759-9067
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205052529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
101 ROYCE RD., Bolingbrook, IL 60440
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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 Nasser Tavakoly's NPI number?

The NPI number for Nasser Tavakoly is 1205052529. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Nasser Tavakoly located?

Nasser Tavakoly practices at 101 Royce Rd. Suite 5, Bolingbrook, IL 60440. The listed phone number is (630) 759-9070.

When was this NPI record last updated?

The NPPES record for Nasser Tavakoly was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.