OrganizationActive
Allure Skin and Laser
NPI 1912445800 · Pediatric Nurse Practitioner · Addison, IL
Provider details
- NPI number
- 1912445800
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Terrah Gavrilos, Nurse Practitioner22480587113
- License
- 209015215 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
240 E Lake Street
Addison, IL 60101
Phone: (630) 818-7546
Approximate (ZIP-level) locationGet directions
Mailing address
832 Rosemary Ter
Deerfield, IL 60015
Registry dates
- Enumerated
- 2017-02-10
- Last updated
- 2017-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.