Skin Deep Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SKIN DEEP HEALTH LLC

Practice address

571 N Rand Rd
Lake Zurich, IL 60047-3134

Phone

(224) 415-0022

Fax

(847) 748-0277

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Terrah Gavrilos, NPNPI 1396250346

Title

Owner

Phone

(224) 415-0022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrah Koppie Gavrilos, APN, CNP

  • Family Nurse Practitioner
  • Lake Zurich, IL
  • NPI 1396250346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1679453948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473134",
            "telephone_number": "224-415-0022",
            "fax_number": "847-748-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473134",
            "telephone_number": "224-415-0022",
            "fax_number": "847-748-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DEEP HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GAVRILOS",
        "authorized_official_first_name": "TERRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-415-0022",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Siga Siliunas, SLP
• Lauren Simnick
• Bobby Rajkumar Singh, OD
• Sundip Kaur Singh, PHARMD
• Anna Sizelove
• SKK Optometrists PLLC
• Lisa Marie Skowron, MAMS, BCO, BADO, CCA
• Denise Smith, RPH
• Young Don Song, D.M.D
• Stephen Carl Sorenson, MD

• Nurse Practitioner in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.