Individual provider · Type 1 NPI
Tenisha Kates, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Calumet City, IL
NPI number
1508611815
Active
Practice location
435 Calhoun Ave
Calumet City, IL 60409-2313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209.024021 (IL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209024021 (IL) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1508611815
Tenisha Kates, NURSE PRACTITIONER's National Provider Identifier is 1508611815, issued on Apr 19, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Calumet City, IL. The record was last updated on Apr 24, 2026.