Mary Tate, L.C.S.W

NPI 1952693327 · on the registry since 2011 · sole proprietor

Practice

Address: 1905 W Court St
Kankakee, IL 60901
Phone: (815) 933-2240
Fax: (815) 936-8659
Organisation at this address: Oakside Corporation
Riverside Health System
Riverside Medical Center
Kankakee Radiology Associates, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-05-04

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