Individual provider · Type 1 NPI

Shiva Tafazoli, FNP

Family Nurse Practitioner · Evanston, IL

NPI number 1922410117 Active

Practice location

1954 Dempster St
Evanston, IL 60202-1016

Fax (630) 701-1007

Mailing address

675 W North Ave, Ste 402
Melrose Park, IL 60160-1624

Other practice locations

  • 675 W North Ave Ste 402, Melrose Park, IL 60160-1624 · (708) 486-2600

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209011295 (IL)
Registered Nurse 163W00000X041343828 (IL)
Family Nurse Practitioner Primary 363LF0000X277000446 (IL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

Other family nurse practitioner providers in Evanston

See all in Evanston →

About NPI 1922410117

Shiva Tafazoli, FNP's National Provider Identifier is 1922410117, issued on May 22, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Nov 19, 2024.