| Jacquelyn E Augustine Psy.d Pc | |
|
1938 E Lincoln Hwy New Lenox IL 60451-3810 | |
| (708) 214-2448 | |
| Not Available |
| Full Name | Jacquelyn E Augustine Psy.d Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1938 E Lincoln Hwy, New Lenox, Illinois |
| Authorized Official Name and Position | Jacquelyn E Augustine (PRESIDENT) |
| Authorized Official Contact | 7082142448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn E Augustine Psy.d Pc 11784 Golden Gate Dr Mokena IL 60448-2033 Ph: (708) 214-2448 | Jacquelyn E Augustine Psy.d Pc 1938 E Lincoln Hwy New Lenox IL 60451-3810 Ph: (708) 214-2448 |
| NPI Number | 1083366470 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083366470 | NPI | - | NPPES |
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