Individual
ANDREW J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 E JOHN ST, CHAMPAIGN, IL 61820-5717
(217) 333-3704
Mailing address
26W232 TUCKAWAY CT, WINFIELD, IL 60190-2319
(630) 724-7080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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