Provider Demographics
NPI:1194948679
Name:PRECIN, MICHELLE M
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:M
Last Name:PRECIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 S WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-7625
Mailing Address - Country:US
Mailing Address - Phone:847-392-2812
Mailing Address - Fax:847-392-3893
Practice Address - Street 1:3705 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-2634
Practice Address - Country:US
Practice Address - Phone:847-392-2812
Practice Address - Fax:847-392-8939
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist