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Ivan Ivanov
Student in an Organized Health Care Education/Training Program in River Forest, Illinois
NPI 1487281176

Ivan Ivanov is a Student in an Organized Health Care Education/Training Program based in River Forest, IL. Ivan Ivanov practices in River Forest, IL. The NPI Number for Ivan Ivanov is 1487281176 and holds a License No. (Illinois).

The current practice location address for Ivan Ivanov is 1516 Franklin Ave, River Forest, IL and can be reached out via phone at 773-909-3741.

Location: 1516 Franklin Ave, River Forest, IL, 60305-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487281176
Provider Name
Ivan Ivanov
Credential
Provider Entity Type
Individual
Gender
Male
Address
1516 Franklin Ave, River Forest, IL, 60305-1043
Phone Number
773-909-3741
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1516 Franklin Ave
City
River Forest
State
Illinois
Zip
60305-1043
Phone Number
773-909-3741
Fax Number
person
Provider Business Mailing Address Details
Address
1516 Franklin Ave
City
River Forest
State
Illinois
Zip
60305-1043
Phone Number
773-909-3741
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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