# IJAM SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891136982
- **Authorized official:** MR. IVAN MANIKATOV RSA (REGISTERED SURGICAL ASSISTANT)
- **Authorized official phone:** (630) 357-2464

## Contact information

- **Practice address:** 520 PEACOCK CT, NAPERVILLE, IL 60565-4164
- **Practice address phone:** (630) 544-8473
- **Mailing address:** 520 PEACOCK CT, NAPERVILLE, IL 60565-4164
- **Mailing address phone:** (630) 544-8473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 06/10/2023