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Andrew Tate

NPI 1669315529 · on the registry since 2026

Practice

Address
610 E John St
Champaign, IL 61820
Phone
(217) 333-3704
Clinicians at this address
2

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-13

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