Jackson Paul Tate
NPI #1164207031 in Maywood, Illinois
Provider Information
- NPI Number
- 1164207031
- Entity Type
- Individual
- Name
- Jackson Paul Tate
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Apr 9, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Student in an Organized Health Care Education/Training Program |
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