Provider Demographics
NPI:1831871987
Name:ALLURE UROGYNECOLOGY PLLC
Entity type:Organization
Organization Name:ALLURE UROGYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:EPHRAIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-228-8217
Mailing Address - Street 1:21660 W FIELD PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7265
Mailing Address - Country:US
Mailing Address - Phone:847-807-6255
Mailing Address - Fax:847-787-1546
Practice Address - Street 1:21660 W FIELD PKWY STE 201
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:IL
Practice Address - Zip Code:60010-7265
Practice Address - Country:US
Practice Address - Phone:847-807-6255
Practice Address - Fax:847-787-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryGroup - Single Specialty