Individual
GREGORY SPEEDY IAVARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1250 W LAKE ST, 17, ADDISON, IL 60101-5744
(630) 543-7246
(630) 907-9015
Mailing address
1250 W LAKE ST, 17, ADDISON, IL 60101-5744
(630) 628-7881
(630) 628-7393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008341
IL
Other
Enumeration date
10/13/2005
Last updated
12/02/2011
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