Individual
MR. ANTHONY LAMONT TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
822 W LENOX AVE, SPRINGFIELD, IL 62704-4538
(217) 381-9507
Mailing address
822 W LENOX AVE, SPRINGFIELD, IL 62704-4538
(217) 381-9507
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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