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DR. LAUREL ANN DETTORE DNSC, MS, RN
NPI 1689929879
Nurse Practitioner - Community Health in Berwyn, IL

Active since July 13, 2012
6827 STANLEY AVE, BERWYN, IL 60402(708) 795-1520(708) 795-1543 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laurel Ann Dettore Dnsc, Ms, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREL ANN DETTORE DNSC, MS, RN (NPI 1689929879) is an individual community health provider in Berwyn, Illinois, licensed in Illinois (214132) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1689929879
Entity TypeIndividualFemale
Primary Taxonomy363LC1500X
Provider Legal NameDR. LAUREL ANN DETTORECredential: DNSC, MS, RN
Location Address6827 STANLEY AVEBerwyn, IL 60402-3287
Mailing Address6827 Stanley AveBerwyn, IL 60402-3287 · (708) 795-1520 · Fax (708) 795-1543
Phone(708) 795-1520
Fax(708) 795-1543
Sole ProprietorYes
Enumeration DateJuly 13, 2012
✔ NPI 1689929879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License✔ Licensed in IL · 214132
6827 STANLEY AVE, Berwyn, IL 60402
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURENS A. LOHMANN M.D.
Internal Medicine (Nephrology)
6827 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 749-4617
ALLEN C BERNTHAL M D LTD
Specialist
6827 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 749-4617
MIDWEST NEPHROLOGY ASSOCIATES, LLC
Specialist
6827 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 749-4617
DR. ALLEN C. BERNTHAL M.D.
Internal Medicine (Gastroenterology)
6827 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 749-4617
GI AND LIVER SPECIALISTS, LTD
Specialist
6827 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 749-4617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Dettore's NPI number?

The NPI number for Laurel Dettore is 1689929879. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Laurel Dettore located?

Laurel Dettore practices at 6827 Stanley Ave, Berwyn, IL 60402. The listed phone number is (708) 795-1520.

What is Laurel Dettore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Laurel Dettore was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.