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Alfred Ivanov

NPI 1235282690 · on the registry since 2007 · sole proprietor

Practice

Address
7850 S Quincy St
Willowbrook, IL 60527
Phone
(630) 991-0157
Organisation at this address
All Sports Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois