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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEEANN MARIE TATE

Active Sole Proprietor

DEEANN MARIE TATE is a Private Vehicle healthcare provider located in DALLAS CITY, Illinois. NPI 1851564793 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · DALLAS CITY, IL

Registration Details

NPI Number
1851564793
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2008 (18.162680793402 yrs)
Last Updated
Apr 11, 2008
License
T30017377621 (IL)
Sole Proprietor
Yes

Practice Information

Address
RR 1 BOX 47A
DALLAS CITY, IL, 623309611
Browse IL providers · Browse ZIP 62330
Phone
3093374629
Fax
2178529919
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.