DoctorLicensePro

Dr. Mahtab Tashakori, MD

Family Medicine

NPI: 1508895780 Illinois
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

20 years

Data Freshness6/10

Updated 6085 days ago

License Status

IllinoisActive
License #

036113377

Issued

Apr 4, 2005

Expires

Jul 31, 2026

Practice Information

Address
1802 SOUTH MATTIS AVE
CHAMPAIGN, IL 61821
Phone
(217) 326-1220
In Practice Since
July 1, 2006
Data Last Updated
November 2, 2009

NPI Details

NPI Number
1508895780
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: November 2, 2009. Report an error