Individual
DONNA J SCAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 E LORRAINE AVE, ADDISON, IL 60101-4880
(630) 341-0688
Mailing address
432 E LORRAINE AVE, ADDISON, IL 60101-4880
(630) 341-0688
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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