| Mr Bart M Tate, PT | |
|
301 East Southline Rd, Tuscola, IL 61953 | |
| (217) 253-3426 | |
| (217) 253-2268 |
| Full Name | Mr Bart M Tate |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 301 East Southline Rd, Tuscola, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538356480 | NPI | - | NPPES |
| 203 | Other | IL | BLUE CROSS |
| 7216 | Other | IL | PERSONAL CARE PROVIDER # |
| 113326 | Other | IL | HEALTHLINK PROVIDER # |
| 4117 | Other | IL | HAMP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 70016016 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bart M Tate, PT 611 W. Park, Urbana, IL 61801-2500 Ph: (217) 326-2911 | Mr Bart M Tate, PT 301 East Southline Rd, Tuscola, IL 61953 Ph: (217) 253-3426 |
Mandi Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 605 E Southline Rd, Tuscola, IL 61953 Phone: 217-253-9100 | |
Ms. Elizabeth Bischoff, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 E Southline Rd, Tuscola, IL 61953 Phone: 217-253-9100 Fax: 217-253-9103 |