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Contact Information

IVAN IVANOV, DO
1516 FRANKLIN AVE
RIVER FOREST, IL60305-1043
 Phone: 773-909-3741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for IVAN IVANOV · (Male)

NPI # 1487281176
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2020
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • NY License # 336058
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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