Individual
DR. ELMA LOUISE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(708) 660-0112
(708) 660-1710
Mailing address
1747 W ROOSEVELT RD, CHICAGO, IL 60608-1264
(708) 660-0112
(708) 660-1710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005043
IL
Other
Enumeration date
01/10/2008
Last updated
04/21/2021
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