Individual
LINDSAY BRIANN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 OLT AVE, PEKIN, IL 61554-6214
(309) 353-6301
(407) 648-3686
Mailing address
347 SCHULZKI LN, EAST PEORIA, IL 61611-9487
(864) 293-9915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036133748
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2008
Last updated
07/27/2015
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