Search › Illinois › 235Z00000X
Brooke Tate
NPI 1407339302 · on the registry since 2018 · sole proprietor
Practice
- Address
- 17634 N Hails Ln
Mount Vernon, IL 62864 - Phone
- (618) 237-5336
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois