Provider Demographics
NPI:1366614919
Name:AUSTRIA, ERIN SUE (MED,CDT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:SUE
Last Name:AUSTRIA
Suffix:
Gender:F
Credentials:MED,CDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 W PRATT BLVD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4665
Mailing Address - Country:US
Mailing Address - Phone:847-208-7097
Mailing Address - Fax:775-269-9239
Practice Address - Street 1:3041 W NORTH SHORE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4127
Practice Address - Country:US
Practice Address - Phone:773-743-2507
Practice Address - Fax:775-269-9239
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor