Augustine, Erin Marie

Augustine, Erin Marie is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave # 62 , Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Augustine, Erin Marie can be contacted via phone (800) 543-7362.

Contact Information

Primary practice address
225 E Chicago Ave # 62 Chicago IL 60611-2991
Phone: (800) 543-7362
Fax: (312) 227-9475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036138236 Illinois
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 036138236 Illinois

Profile Details

NPI number 1336328145
LBN Legal business name Augustine, Erin Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Apr 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336328145 NPPES
Other F400386486 PTAN
MEDICAID 036138236 PTAN

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