Individual
ALFRED IVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7850 S QUINCY ST, WILLOWBROOK, IL 60527-5534
(630) 991-0157
Mailing address
7521 COUNTRY LN, DARIEN, IL 60561-4622
(630) 991-0157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
227006262
IL
225700000X
Massage Therapist
Primary
227006262
IL
Other
Enumeration date
01/19/2007
Last updated
04/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us