Agustin, Mark Perez

Agustin, Mark Perez is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave. Dept. Of Anesthesia, Evanston IL 60201-1057. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Agustin, Mark Perez can be contacted via phone (847) 570-2760.

Contact Information

Primary practice address
2650 Ridge Ave. Dept. Of Anesthesia Evanston IL 60201-1057
Phone: (847) 570-2760
Fax: (847) 570-2921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209019626 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209019626 Illinois

Profile Details

NPI number 1730855677
LBN Legal business name Agustin, Mark Perez
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2021
Last updated Sep 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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