MARGARET LOUISA TATE

MATTOON, IL
NPI1215467154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036150937)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  125070285)
Enumeration Date2017-06-13
Last Update Date2024-04-29
Business Address
MARGARET LOUISA TATE DO
2512 HURST DR STE 120
MATTOON, IL 61938-9200
Phone number: 217-258-5900
Mailing Address
MARGARET LOUISA TATE DO
2512 HURST DR STE 120
MATTOON, IL 61938-9200
Phone number: 217-258-5900