Allure Skin and Laser

NPI #1912445800 in Addison, Illinois

Provider Information

NPI Number
1912445800
Entity Type
Organization
Organization Name
Allure Skin and Laser
Primary Specialty
Nurse Practitioner - Pediatrics
Enumeration Date
Feb 10, 2017
Last Updated
Feb 10, 2017

Practice Location

Address
240 E LAKE STREET
ZIP Code
60101
Phone
(630) 818-7546

Authorized Official

Name
DR. TERRAH KOPPIE GAVRILOS, D.N.P.
Title
NURSE PRACTITIONER
Phone
22480587113

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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