Organization
IJAM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN MANIKATOV RSA (REGISTERED SURGICAL ASSISTANT)
(630) 357-2464
Entity
Organization
Contact information
Practice address
520 PEACOCK CT, NAPERVILLE, IL 60565-4164
(630) 544-8473
Mailing address
520 PEACOCK CT, NAPERVILLE, IL 60565-4164
(630) 544-8473
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
06/10/2023
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