Individual
DOROTHY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 W ROOSEVELT RD, LOMBARD, IL 60148-4402
(630) 250-2900
Mailing address
18W260 BUCKINGHAM LN, VILLA PARK, IL 60181-3824
(630) 538-0839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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