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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Laurel Ann Dettore, DNSC, MS, RN

Community Health Nurse Practitioner in Berwyn, IL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689929879

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Registry record

Entity type Individual (Type 1)
Name Dr. Laurel Ann Dettore
Credential DNSC, MS, RN
Sex Female
Practice address Berwyn, IL, 60402
Fax (708) 795-1543
Enumeration date Jul 13, 2012
Last updated in NPPES Jul 13, 2012

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LC1500X Community Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 214132 (IL) Primary
RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Laurel Dettore practice?
The practice location on file with NPPES is in Berwyn, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Laurel Dettore?
The National Provider Identifier (NPI) for Laurel Dettore is 1689929879, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-13.