Zadounaev, Ivan

Zadounaev, Ivan is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zadounaev, Ivan can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036160448 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19489 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2026-03304 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R-10727 Iowa

Profile Details

NPI number 1316398506
LBN Legal business name Zadounaev, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Jun 11th, 2026 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316398506 NPPES
New Hampshire Other 19489 NH LICENSE

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