IndividualActive
Alfred Ivanov
NPI 1235282690 · Massage Therapist · Willowbrook, IL
Provider details
- NPI number
- 1235282690
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 227006262 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Practice location
7850 S Quincy St
Willowbrook, IL 60527-5534
Phone: (630) 991-0157
Approximate (ZIP-level) locationGet directions
Mailing address
7521 Country Ln
Darien, IL 60561-4622
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2026-04-26
- Certified
- 2026-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.