ALLURE SKIN AND LASER
NPI 1912445800
Nurse Practitioner - Pediatrics in Addison, IL

NPI Status: Active since February 10, 2017

Contact Information

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

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  • Organization
  • Nurse Practitioner
  • Pediatrics

About ALLURE SKIN AND LASER

This page provides the complete NPI Profile along with additional information for Allure Skin And Laser, a provider established in Addison, Illinois operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1912445800 assigned on February 2017. The practitioner's primary taxonomy code is 363LP0200X with license number 209015215 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. Allure Skin And Laser operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Terrah Koppie Gavrilos D.n.p. (Nurse Practitioner)

NPI
1912445800
Provider Name
ALLURE SKIN AND LASER
Entity Type
Organization
Location Address
240 E LAKE STREET ADDISON, IL 60101
Location Phone
(630) 818-7546
Mailing Address
832 ROSEMARY TER DEERFIELD, IL 60015
Mailing Phone
(224) 805-8713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2017
Last Update Date
02-10-2017
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A nurse practitioner (NP) like Allure Skin And Laser is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209015215
License State
IL

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TERRAH KOPPIE GAVRILOS D.N.P.

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912445800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922841080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 8 + 4 + 1 + 0 + 8 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1912445800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912445800, enumerated in the NPI registry as an "organization" on February 10, 2017

The provider is located at 240 E Lake Street Addison, Il 60101 and the phone number is (630) 818-7546

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

This NPI record was last updated on February 10, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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