Jerry A Iavarone D.C.

NPI 1053308973 - Chiropractor - 111N00000X

NPI Details
NPI 1053308973
Gender Male
Enumeration Date 10/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1250 W LAKE ST
SUITE 17
ADDISON IL, 60101-5744, US
Phone (630) 543-7246
Fax (630) 543-7287
Business Location
1250 W LAKE ST
SUITE 17
ADDISON IL, 60101-5744, US
Phone (630) 543-7246
Fax (630) 543-7287
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Dr. Jerry A Iavarone D.C. NPI is 1053308973, taxonomy code is 111N00000X Jerry A Iavarone D.C. physically located at 1250 W Lake St, Addison IL, 60101-5744. NPI Number Jerry A Iavarone D.C. has the Individual type.

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1053308973 NPI number is provided on an as is basis without warranty of any kind. 1053308973 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry A Iavarone D.C. are for informational purposes only.