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Contact Information

MARK P AGUSTIN, ACNP
2650 RIDGE AVE.
DEPT. OF ANESTHESIA
EVANSTON, IL60201-1057
 Phone: 847-570-2760
 Fax: 847-570-2921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARK P AGUSTIN · (Male)

NPI # 1730855677
Status Active
Credentials ACNP
Entity Individual
Enumeration date 08/20/2021
Last updated 09/17/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209019626
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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