ELIZABETH DIANE TATE

SPRINGFIELD, IL
NPI1194849117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209001709)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Ms. ELIZABETH DIANE TATE NP
751 N RUTLEDGE ST SUITE 3501
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-7365
Mailing Address
Ms. ELIZABETH DIANE TATE NP
2808 FINDLEY DR
SPRINGFIELD, IL 62704-5363
Phone number: 217-787-3063