Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Ivanov, DO

Individual provider Medical Toxicology (Emergency Medicine) Physician · NPI 1487281176

Ivan Ivanov, DO is an Emergency Medicine in River Forest, Illinois. Qualified in 2020, 6 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1516 Franklin Ave
River Forest, IL 60305-1043
Phone: (773) 909-3741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 336058 (NY)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence 336058 (NY)

Record details

NPI number1487281176
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1516 Franklin Ave, River Forest, IL 60305-1043

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount