Individual
ASHLEY MARIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
165 N DESPLAINES ST APT 509, CHICAGO, IL 60661-1446
(248) 408-8143
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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