Manikatov, Ivan Atanassov

Manikatov, Ivan Atanassov is an individual health care provider with primary practice located at 520 Peacock Ct , Naperville IL 60565-4164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Manikatov, Ivan Atanassov can be contacted via phone (630) 544-8473.

Contact Information

Primary practice address
520 Peacock Ct Naperville IL 60565-4164
Phone: (630) 544-8473
Fax: (630) 357-2464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1528208410
LBN Legal business name Manikatov, Ivan Atanassov
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2009
Last updated May 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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