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Alfred Ivanov
Specialist in Willowbrook, Illinois
NPI 1235282690

Alfred Ivanov is a Specialist based in Willowbrook, IL. Alfred Ivanov practices in Willowbrook, IL. The NPI Number for Alfred Ivanov is 1235282690 and holds a License No. (Illinois).

The current practice location address for Alfred Ivanov is 7440 Tennessee Dr Apt 206, Willowbrook, IL and can be reached out via phone at 630-544-7336.

Location: 7440 Tennessee Dr Apt 206, Willowbrook, IL, 60527-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235282690
Provider Name
Alfred Ivanov
Credential
Provider Entity Type
Individual
Gender
Male
Address
7440 Tennessee Dr Apt 206, Willowbrook, IL, 60527-2368
Phone Number
630-544-7336
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7440 Tennessee Dr Apt 206
City
Willowbrook
State
Illinois
Zip
60527-2368
Phone Number
630-544-7336
Fax Number
person
Provider Business Mailing Address Details
Address
7440 Tennessee Dr Apt 206
City
Willowbrook
State
Illinois
Zip
60527-2368
Phone Number
630-544-7336
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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