Search › Illinois › 363AS0400X
Ivan Manikatov, CSA
NPI 1528208410 · on the registry since 2009
Practice
- Address
- 520 Peacock Ct
Naperville, IL 60565 - Phone
- (630) 544-8473
- Fax
- (630) 357-2464
- Organisation at this address
- Ijam Services Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Sex
- Male
- Record last updated
- 2026-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois