Alfred Ivanov is a specialist in Willowbrook, IL. The provider is 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. Alfred Ivanov NPI is 1235282690. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7440 TENNESSEE DR APT 206
WILLOWBROOK, IL
ZIP 60527-368
Phone: (630) 544-7336
The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.