Most Relevant Information
Provider Data
| NPI Number: | 1003382623 |
| Provider Name: | DINA TATE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 178011941 |
Most Important Dates
| Enumeration Date: | 10/22/2018 |
| Last Updated: | 10/22/2018 |
Provider Practice Location
400 MERCY LN
AURORA
IL
605062447
Practice Location Phone/Fax
| Phone: | 6309667400 |
| Fax: |
Provider Mailing Location
55 E JACKSON BLVD STE 1500
CHICAGO
IL
606044137
Provider Mailing Phone/Fax
| Phone: | 3126631130 |
| Fax: | 3126630504 |