Allure Skin and Laser
Organization Active NPI Pediatric Nurse Practitioner · Addison, IL
NPI 1912445800 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1912445800
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 209015215 (IL)
- Legal business name
- ALLURE SKIN AND LASER
- Practice address
- 240 E Lake Street
Addison, IL 60101 - Phone
- (630) 818-7546
- NPI assigned
- Feb 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Terrah Koppie Gavrilos, D.N.P.
- Title
- Nurse Practitioner
- Phone
- 22480587113
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner |
363LP0200X | 209015215 | IL | Yes |
Addresses
Primary practice location
240 E Lake Street
Addison, IL 60101
Mailing address
832 Rosemary Ter
Deerfield, IL 60015
Phone (224) 805-8713
Other providers in Addison, IL
- Gisela Alamo
- Jennifer Alcedo
- Ali Tekdogan DDS Addison LLC
- Danyelle Allen-Tucker
- Curran Allenstein
- Jose Almendariz
- Amenity Health Care Inc
- American Current Care of Illinois PC
- American Current Care P.a.
- American Drug Stores LLC
All providers in Addison, IL · Pediatric Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.