Organization
SKIN DEEP HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRAH GAVRILOS NP (OWNER)
(224) 415-0022
Entity
Organization
Contact information
Practice address
571 N RAND RD, LAKE ZURICH, IL 60047-3134
(224) 415-0022
(847) 748-0277
Mailing address
571 N RAND RD, LAKE ZURICH, IL 60047-3134
(224) 415-0022
(847) 748-0277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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