Active NPI
Diane Tate MD
- Pulmonary Disease Physician
- Chicago, IL
National Provider Identifier
1306096631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036042759
- Legal business name
- DIANE TATE MD
- Doing business as
- Diane Tate MD
- Practice address
- 6547 N Avondale Ave
Suite 001
Chicago, IL 60631-1573 - Phone
- (773) 775-1622
- NPI assigned
- Sep 23, 2008
- Last updated
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Tate, M.D.
- Title
- Medical Doctor
- Phone
- (773) 775-1622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036042759 | IL | Primary |
Addresses
Primary practice location
6547 N Avondale Ave
Suite 001
Chicago, IL 60631-1573
Mailing address
6547 N Avondale Ave
Suite 001
Chicago, IL 60631-1573
Phone (773) 775-1622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042759 | Medicaid | IL |
Other names 1
- DIANE TATE MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1427194638
-
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1205849015
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1306096631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6547 N AVONDALE AVE",
"address_2": "SUITE 001",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311573",
"telephone_number": "773-775-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6547 N AVONDALE AVE",
"address_2": "SUITE 001",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311573",
"telephone_number": "773-775-1622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE TATE MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "773-775-1622",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036042759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042759",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DIANE TATE MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.