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Individual
MRS. TERRAH KOPPIE GAVRILOS
Active
Individual
MRS. TERRAH KOPPIE GAVRILOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015215
IL
363LP0200X
Pediatric Nurse Practitioner
209015215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041374819
REGISTERED PROFESSIONAL NURSE
IL
05
—
1396250346
—
IL
01
—
209105215
APN
IL
01
—
309010634
APN CONTROLLED SUBSTANCE
IL
Enumeration date
12/12/2017
Last updated
11/19/2025
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