Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALFRED IVANOV
Active Sole ProprietorALFRED IVANOV is a Massage Therapist healthcare provider located in WILLOWBROOK, Illinois. NPI 1235282690 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · WILLOWBROOK, IL
Registration Details
- NPI Number
- 1235282690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.601089204065 yrs)
- Last Updated
- Mar 17, 2025
- Licenses
-
227006262 (IL)227006262 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7440 TENNESSEE DR APT 206WILLOWBROOK, IL, 605272368Browse IL providers · Browse ZIP 60527
- Phone
- 6305447336
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in WILLOWBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL ELIAS PALOS | LCMT | 1194071407 |
| BOHUMILA BEDRONOVA | — | 1316398837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.