Individual
TENISHA KATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
435 CALHOUN AVE, CALUMET CITY, IL 60409-2313
(708) 368-2180
Mailing address
435 CALHOUN AVE, CALUMET CITY, IL 60409-2313
(708) 368-2180
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.024021
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209024021
IL
Other
Enumeration date
04/19/2024
Last updated
04/24/2026
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