Alfred Ivanov
Alfred Ivanov is a Specialist in Willowbrook, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
7850 S Quincy StWillowbrook, IL 60527-5534
Phone: (630) 991-0157
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 227006262 (IL) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 227006262 (IL) |
Record details
| NPI number | 1235282690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | April 26, 2026 |
| Certification date | April 26, 2026 |
| Mailing address | 7521 Country Ln, Darien, IL 60561-4622 |
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