Individual
IVAN ATANASSOV MANIKATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
520 PEACOCK CT, NAPERVILLE, IL 60565-4164
(630) 544-8473
(630) 357-2464
Mailing address
520 PEACOCK CT, NAPERVILLE, IL 60565-4164
(630) 544-8473
(630) 357-2464
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2009
Last updated
02/12/2026
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