Mark Perez Agustin, ACNP

NPI #1730855677 in Evanston, Illinois

Provider Information

NPI Number
1730855677
Entity Type
Individual
Name
Mark Perez Agustin, ACNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
ACNP
Enumeration Date
Aug 20, 2021
Last Updated
Sep 17, 2021

Practice Location

Address
2650 RIDGE AVE.
Address 2
DEPT. OF ANESTHESIA
ZIP Code
60201-1057
Phone
(847) 570-2760

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Acute CareAcute Care
Nurse Practitioner

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