ALLURE SKIN AND LASER NPI 1912445800

NPI Information

NPI: 1912445800
Provider Name: ALLURE SKIN AND LASER
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
240 E LAKE STREET
ADDISON, IL
ZIP 60101
Phone: (630) 818-7546
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ALLURE SKIN AND LASER is a pediatrics nurse practitioner in Addison, IL. ALLURE SKIN AND LASER NPI is 1912445800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 E LAKE STREET
ADDISON, IL
ZIP 60101
Phone: (630) 818-7546

The provider's authorized official is Terrah Koppie Gavrilos .
The authorized official title is Nurse Practitioner and has the following contact phone number 22480587113.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	209015215	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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