Organization
DR. GREGORY IAVARONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S IAVARONE DC (OWNER)
(630) 543-7246
Entity
Organization
Contact information
Practice address
1250 W LAKE ST, SUITE 17, ADDISON, IL 60101-5744
(630) 543-7246
(630) 543-7287
Mailing address
1250 W LAKE ST, SUITE 17, ADDISON, IL 60101-5744
(630) 543-7246
(630) 543-7287
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0038008341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221705
BCBS OF IL
IL
Enumeration date
02/08/2007
Last updated
08/22/2020
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