Ivan Ivanov, DO is a medicare enrolled "Emergency Medicine" physician in River Forest, Illinois. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Physician Affiliate Group Of New York Pc and his current practice location is
1516 Franklin Ave, River Forest, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 909-3741.
Ivan Ivanov is licensed to practice in New York (license number 336058) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487281176.
Physician's Profile
| Full Name | Ivan Ivanov |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 6 Years |
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| Location | 1516 Franklin Ave, River Forest, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ivan Ivanov graduated from medical school in 2020
NPI Data:
- NPI Number: 1487281176
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 05/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 0143722199
- Enrollment ID: I20250908003523
Medical Identifiers
Medical identifiers for Ivan Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487281176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PT0002X | Emergency Medicine - Medical Toxicology | 336058 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 336058 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physician Affiliate Group Of New York Pc | 4688098833 | 1221 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Ivanov is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivan Ivanov, DO
1516 Franklin Ave,
River Forest, IL 60305-1043
Ph: (773) 909-3741 | Ivan Ivanov, DO
1516 Franklin Ave,
River Forest, IL 60305-1043
Ph: (773) 909-3741 |
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