MAHTAB TASHAKORI

CHAMPAIGN, IL
NPI1508895780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036113377)
Enumeration Date2006-07-01
Last Update Date2009-11-02
Business Address
Dr. MAHTAB TASHAKORI MD
1802 SOUTH MATTIS AVE
CHAMPAIGN, IL 61821
Phone number: 217-326-1220
Mailing Address
Dr. MAHTAB TASHAKORI MD
PO BOX 6002
URBANA, IL 61803-6002
Phone number: 217-337-4105
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