Healthcare Provider Details

I. General information

NPI: 1831871987
Provider Name (Legal Business Name): ALLURE UROGYNECOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21660 W FIELD PKWY STE 201
DEER PARK IL
60010-7265
US

IV. Provider business mailing address

21660 W FIELD PKWY STE 201
DEER PARK IL
60010-7265
US

V. Phone/Fax

Practice location:
  • Phone: 847-807-6255
  • Fax: 847-787-1546
Mailing address:
  • Phone: 847-807-6255
  • Fax: 847-787-1546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SONYA EPHRAIM
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 716-228-8217