Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin Tate

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295103323

Kaitlin Tate is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2641 W Harrison St
Chicago, IL 60612-3420
Phone: (708) 264-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 Ridge St, Bowling Green, OH 43403-4301 — (708) 359-9664

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295103323
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2015
Last updated in NPPESMarch 20, 2022
Certification dateMarch 20, 2022
Mailing address11820 S Loomis St, Chicago, IL 60643-5041

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