Tate, Carmen

Tate, Carmen is an sole proprietor health care provider with primary practice located at 2803 Larkspur Ln , Hazel Crest IL 60429-2145. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tate, Carmen can be contacted via phone (708) 608-3241.

Contact Information

Primary practice address
2803 Larkspur Ln Hazel Crest IL 60429-2145
Phone: (708) 608-3241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150102674
Other Service Providers / Case Manager/Care Coordinator 171M00000X 42113793
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 110546
Behavioral Health & Social Service Providers / Professional 101YP2500X 180009380

Profile Details

NPI number 1972111334
LBN Legal business name Tate, Carmen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2020
Last updated Jul 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972111334 NPPES
Illinois MEDICAID 47-4411020
Illinois Other 47-4411020

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