Organization · Type 2 NPI
Allure Skin and Laser
Pediatric Nurse Practitioner · Addison, IL
NPI number
1912445800
Active
Practice location
240 E Lake Street
Addison, IL 60101
Mailing address
832 Rosemary Ter
Deerfield, IL 60015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209015215 (IL) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1912445800
Allure Skin and Laser's National Provider Identifier is 1912445800, issued on Feb 10, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Addison, IL. The record was last updated on Feb 10, 2017.