Individual
MARK NORBERT PRECIADO GUIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPA, PMHNP-BC, FNP-C
Contact information
Practice address
1328 MAIN ST UNIT B, CRETE, IL 60417-2131
(708) 277-6924
(708) 277-6924
Mailing address
1328 MAIN ST UNIT B, CRETE, IL 60417-2131
(708) 277-6924
(708) 277-6924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209016243
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001928
IL
Other
Enumeration date
06/15/2017
Last updated
02/03/2025
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