Mrs. Terrah Koppie Gavrilos is a Lake Bluff, Illinois based nurse practitioner with 8 years of experience in Pediatrics. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Terrah Koppie Gavrilos is 209015215 for Family in Illinois. Her current practice location is 925 Sherwood Dr, Lake Bluff. Patients can reach her at 847-234-1177 or can fax her at 847-234-1875. Mrs. Terrah Koppie Gavrilos is APN, CNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1396250346. Mrs. Terrah Koppie Gavrilos specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mrs. Terrah Koppie Gavrilos speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3476816091
Enrollment ID:
I20180413000055
NPI Number:
1396250346
NPI Enumeration Date:
12 Dec, 2017
NPI Last Update On:
17 Jul, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Terrah Koppie Gavrilos are as mentioned below.
License Number
Specialization
State
Status
209015215
Family
Illinois
Primary
209015215
Pediatrics
Illinois
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Terrah Koppie Gavrilos is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pinnacle Dermatology Sc (8628353380)
129
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Terrah Koppie Gavrilos such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
309010634
Other
Illinois
APN CONTROLLED SUBSTANCE
209105215
Other
Illinois
APN
041374819
Other
Illinois
REGISTERED PROFESSIONAL NURSE
1396250346
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Terrah Koppie Gavrilos 261 E Drury Ln, North Barrington, Illinois
Zip:
60010-2111
Phone Number:
229-415-1203
Fax Number:
847-234-1875
Patients can reach Mrs. Terrah Koppie Gavrilos at 925 Sherwood Dr, Lake Bluff, Illinois or can call to book an appointment on 847-234-1177.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.