Individual provider · Type 1 NPI
Terrah Koppie Gavrilos, APN, CNP
Family Nurse Practitioner · Lake Zurich, IL
NPI number
1396250346
Active
Practice location
571 N Rand Rd
Lake Zurich, IL 60047-3134
Fax (847) 748-0277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209015215 (IL) |
| Pediatric Nurse Practitioner | 363LP0200X | 209015215 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1396250346
Terrah Koppie Gavrilos, APN, CNP's National Provider Identifier is 1396250346, issued on Dec 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Zurich, IL. The record was last updated on Nov 19, 2025.