Jerry a Iavarone DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JERRY A IAVARONE DC

Practice address

1250 W Lake St
Suite 17
Addison, IL 60101-5744

Phone

(630) 543-7246

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry A Iavarone, DC

Title

Owner

Phone

(630) 907-0578

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1366579559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W LAKE ST",
            "address_2": "SUITE 17",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015744",
            "telephone_number": "630-543-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W LAKE ST",
            "address_2": "SUITE 17",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015744",
            "telephone_number": "630-543-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A IAVARONE DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "IAVARONE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-907-0578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2290047",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa J. James, M.D.
• Misty Javan, LSW
• Katherine M Johnson, LCSW
• Melissa Johnson, DPT
• Esam Jumani, D.D.S
• Just What the Doctor Ordered, Inc
• Agim Jusufi, MD, MPH

• Chiropractor in Addison, IL
• Providers in Addison, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.