DR. Mario Tavakoli, DO is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Mario Tavakoli, DO NPI is 1710627195. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
820 SOUTH WOOD STREET
SUITE 100, MC 675
CHICAGO, IL
ZIP 60612
Phone: (312) 996-2933
The enumeration date for this NPI number is 3/31/2022 and was last updated on 3/31/2022.