Search › Illinois › 225100000X
Jaclyn Tate, DPT
NPI 1518347079 · on the registry since 2015
Practice
- Address
- 1323 W Diversey Pkwy
Chicago, IL 60614 - Phone
- (773) 549-2520
- Fax
- (773) 549-2743
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- OK, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-01
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