MEDICARE: BETSY N. SALOMON-AUGUSTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	180012298	IL

General Provider Information

NPI Number	:	1811821960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY N. SALOMON-AUGUSTE

Provider Business Mailing Address
First Line	:	8906 S UNION AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-2232
Country	:	US
Telephone Number	:	773-218-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	8906 S UNION AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-2232
Country	:	US
Telephone Number	:	773-218-0134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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