IVAN IVANOV

RIVER FOREST, IL
NPI1487281176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NY  336058)
Additional Taxonomies207PT0002X Emergency Medicine, Medical Toxicology
(Licence: NY  336058)
Enumeration Date2020-03-24
Last Update Date2026-05-05
Business Address
IVAN IVANOV DO
1516 FRANKLIN AVE
RIVER FOREST, IL 60305-1043
Phone number: 773-909-3741
Mailing Address
IVAN IVANOV DO
1516 FRANKLIN AVE
RIVER FOREST, IL 60305-1043
Phone number: 773-909-3741