Individual provider · Type 1 NPI

Andrew J. Tate

Student in an Organized Health Care Education/Training Program · Champaign, IL

NPI number 1669315529 Active

Practice location

610 E John St
Champaign, IL 61820-5717

Call (217) 333-3704 Map

Mailing address

26W232 Tuckaway Ct
Winfield, IL 60190-2319

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669315529

Andrew J. Tate's National Provider Identifier is 1669315529, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Champaign, IL. The record was last updated on Apr 13, 2026.