| Doctor Name: | JOY PRECIADO |
| NPI Number: | 1306216098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 209013390 |
| Business Practice Address: | 1405 E 12th St Ste 300 Mendota, IL - 613429010 |
| Business Phone Number: | 8155393141 |
| Business Fax Number: | |
| Mailing Address: | 1405 E 12th St, Ste 300 MENDOTA |
| State: | IL |
| Postal Code: | 613429010 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2015 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209013390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |