Ivanov, Alfred

Ivanov, Alfred is an sole proprietor health care provider with primary practice located at 7440 Tennessee Dr Apt 206 , Willowbrook IL 60527-2368. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ivanov, Alfred can be contacted via phone (630) 544-7336.

Contact Information

Primary practice address
7440 Tennessee Dr Apt 206 Willowbrook IL 60527-2368
Phone: (630) 544-7336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1235282690
LBN Legal business name Ivanov, Alfred
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers