Organization
JERRY A IAVARONE DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY A IAVARONE DC (OWNER)
(630) 907-0578
Entity
Organization
Contact information
Practice address
1250 W LAKE ST, SUITE 17, ADDISON, IL 60101-5744
(630) 543-7246
Mailing address
1250 W LAKE ST, SUITE 17, ADDISON, IL 60101-5744
(630) 543-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2290047
BCBS
IL
Enumeration date
02/27/2007
Last updated
09/06/2023
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