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DIANE TATE MD NPI 1306096631


NPI Information

NPI: 1306096631
Provider Name: DIANE TATE MD

Doing Business As: DIANE TATE MD

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
6547 N AVONDALE AVE
SUITE 001
CHICAGO, IL
ZIP 60631
Phone: (773) 775-1622
Get Directions

DIANE TATE MD is a pulmonary disease internal medicine in Chicago, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DIANE TATE MD NPI is 1306096631. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Diane Tate Md.

The provider's business location address is:

6547 N AVONDALE AVE
SUITE 001
CHICAGO, IL
ZIP 60631-573
Phone: (773) 775-1622

The provider's authorized official is Diane Tate .
The authorized official title is Medical Doctor and has the following contact phone number (773) 775-1622.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 9/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease036042759ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1903110MEDICARE PINILLINOIS
2036042759MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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