MEDICARE: RODNINA SIMS-TATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	150110068	IL

General Provider Information

NPI Number	:	1346195054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNINA SIMS-TATE

Provider Business Mailing Address
First Line	:	8018 S PEORIA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-2549
Country	:	US
Telephone Number	:	312-715-8399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 W MADISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2191
Country	:	US
Telephone Number	:	312-715-8399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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Directions to “ RODNINA SIMS-TATE ” Practice Location

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