IndividualActive
Nasser Tavakoly, RCSA
NPI 1205052529 · Surgical Technologist · Bolingbrook, IL
Provider details
- NPI number
- 1205052529
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RCSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Royce Rd.
Suite 5
Bolingbrook, IL 60440
Phone: (630) 759-9070
Fax: (630) 759-9067
Street-level locationGet directions
Mailing address
P.o.box 9274
Naperville, IL 60567-9274
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.