Individual provider · Type 1 NPI
Alfred Ivanov
Massage Therapist · Willowbrook, IL
NPI number
1235282690
Active
Practice location
7850 S Quincy St
Willowbrook, IL 60527-5534
Mailing address
7521 Country Ln
Darien, IL 60561-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 227006262 (IL) |
| Massage Therapist Primary | 225700000X | 227006262 (IL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2 other providers at this address
Other massage therapist providers in Willowbrook
About NPI 1235282690
Alfred Ivanov's National Provider Identifier is 1235282690, issued on Jan 19, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Willowbrook, IL. The record was last updated on Apr 26, 2026.